Individual provider Active NPI

Desiree Nicole Shields

  • Marriage & Family Therapist
  • Cincinnati, OH
National Provider Identifier
1265068712
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2300338 Issued in OH
Practice address
225 Calhoun St
Cincinnati, OH 45221-1447
Phone
(513) 556-0648
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.2000184-TRNE OH
Marriage & Family Therapist 106H00000X F.2300338 OH Primary

Addresses

Primary practice location

225 Calhoun St
Cincinnati, OH 45221-1447

Mailing address

Mail Box 0034
Cincinnati, OH 45221-0034
Phone (513) 556-0648

Other practice location 1

4633 Aicholtz Rd
Cincinnati, OH 45244-1447
Phone (513) 752-1555

Other names 1

  • Desiree Nicole Gonzales Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F.2300338OHMDMarriage & Family Therapist
M.2000184-TRNEOHMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1265068712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIL BOX 0034",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452210034",
            "telephone_number": "513-556-0648",
            "fax_number": "513-556-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CALHOUN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452211447",
            "telephone_number": "513-556-0648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4633 Aicholtz Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441447",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.2000184-TRNE",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2300338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "GONZALES",
            "middle_name": "NICOLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.