Organization Active NPI

Shefferd Incorporated

  • Clinical Social Worker
  • Hiawatha, KS
National Provider Identifier
1245855121
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHEFFERD INCORPORATED
Doing business as
Resilient Counseling Services
Practice address
700 Oregon St Ste 9
Hiawatha, KS 66434-2232
Phone
(785) 288-6253
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamara Shefferd, LSCSWNPI 1053726232
Title
Outpatient Therapist
Phone
(785) 288-6253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

700 Oregon St Ste 9
Hiawatha, KS 66434-2232

Mailing address

1006 N 4TH St
Hiawatha, KS 66434-1518
Phone (785) 220-1364

Other names 1

  • Resilient Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200729003728 KS Part B Supplier - Clinic/Group Practice 9638594245 Receives reassigned benefits from 1 practitioner
Practice locations: Hiawatha, KS

National Provider Directory

National Provider Directory

Locations

700 Oregon St
Ste 9
Hiawatha, KS 66434
Phone (785) 288-6253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1245855121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N 4TH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664341518",
            "telephone_number": "785-220-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OREGON ST STE 9",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-288-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEFFERD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "SHEFFERD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "785-288-6253",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.