Shea Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHEA COUNSELING LLC

Practice address

11800 Singletree LN Ste 304
Eden Prairie, MN 55344-5398

Phone

(612) 367-7914

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Lindsay Deans, MA, LPCC

Title

Owner and Therapist

Phone

(612) 367-7914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Lindsay Marie Nelson

  • Professional Counselor
  • Eden Prairie, MN
  • NPI 1992352439

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1255079893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 304",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445398",
            "telephone_number": "612-367-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 304",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445398",
            "telephone_number": "612-367-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "DEANS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "612-367-7914",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gauri Sharma, PHARMD. BCPS
• Sharockman Counseling
• Brett Sharockman
• Antonia Grace Sharp, MSW, LGSW
• Dmitriy Shchegolev
• Elizabeth Shea, RPH
• Damon Douglas Shearer, DO
• Amina Ali Sheikh-Mohamed
• Mohamed Ali Sheikh-Mohamed
• Safiya Ali Sheikh-Mohamed

• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.