Samuel Sheeley, LPC-MHSP(TEMP), NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5230 Issued in TN

Practice address

2200 21St Ave S Ste 405
Nashville, TN 37212-4929

Phone

(615) 668-2607

NPI assigned

Mar 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1275282360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 405",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-668-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 405",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-668-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELEY",
        "first_name": "SAMUEL",
        "credential": "LPC-MHSP(TEMP), NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuels@tnoakscounseling.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 21st Ave S Ste 405",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372124929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Nicole Sheckells, AUD
• Lesa Hope Sheckles, BS
• Amber N Shedd, MS, CCC-SLP
• James Steven Sheehan, LCSW MSSW
• Cody Sheeks
• David Marc Sheer, DPT MOMT
• Todd Sheffer, DC
• Ronald Carl Sheffey, AUD, CCC-A
• Julia Sheffield
• Yetteva Diesta Sheffield, RN,PHN

• Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.