Individual provider Active NPI

Linda Hart

  • Professional Counselor
  • Redding, CA
National Provider Identifier
1255815502
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13452 Issued in CA
Practice address
1170 Industrial St
Redding, CA 96002-0734
Phone
(530) 722-9995
Fax
(530) 722-9294
NPI assigned
Sep 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC5143 CA
Professional Counselor 101YP2500X 13452 CA Primary

Addresses

Primary practice location

1170 Industrial St
Redding, CA 96002-0734

Mailing address

42553 Rolling Hills Dr
Aguanga, CA 92536-9877
Phone (951) 239-7762

Other practice location 1

1000 N State St
Hemet, CA 92543-1458
Phone (951) 318-1351

Other names 1

  • Linda Holmstrom-Shiebler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003170 CA Practitioner - Mental Health Counselor 2365975752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creekside Counseling Center IncGroup PAC ID 1557683315, 16 clinicians

Practice addresses (Care Compare)

1170 Industrial St
Redding, CA 96002-0734
Phone (530) 722-9957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APCC5143CAMDProfessional Counselor
13452CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Center Inc CurrentSince Oct 21, 2024 Accepting new patients

Locations

1170 Industrial St
Redding, CA 96002
Phone (530) 722-9957

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1255815502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42553 ROLLING HILLS DR",
            "city": "AGUANGA",
            "state": "CA",
            "postal_code": "925369877",
            "telephone_number": "951-239-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020734",
            "telephone_number": "530-722-9995",
            "fax_number": "530-722-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N State St",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925431458",
            "country_code": "US",
            "telephone_number": "951-318-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC5143",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HOLMSTROM-SHIEBLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.