Individual provider Active NPI

Jessica Marie Shiveley

  • Clinical Social Worker
  • Loveland, CO
National Provider Identifier
1326677360
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926613 Issued in CO
Practice address
323 E 27TH St
Loveland, CO 80538-3203
Phone
(970) 541-1015
NPI assigned
Apr 2, 2020
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926613 CO Primary

Addresses

Primary practice location

323 E 27TH St
Loveland, CO 80538-3203

Mailing address

1000 Blue Spruce Dr
Loveland, CO 80538-2859

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL heartcenteredcounselors.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200504000484 CO Practitioner - Clinical Social Worker 2264863497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Blue Spruce Dr
Loveland, CO 80538-2859
Phone (970) 541-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926613COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartfelt Holistic Healing LLC Clinical CurrentSince Oct 9, 2023 Accepting new patients
Heart Centered Counseling, PC Clinical PastSince Apr 5, 2020 Accepting new patients

Locations

832 W Eisenhower Blvd
Ste B3
Loveland, CO 80537
Phone (970) 412-9256

Organizations & group practices 2

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1326677360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLUE SPRUCE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E 27TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383203",
            "telephone_number": "970-541-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELEY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "heartcenteredcounselors.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "323 E 27th St",
            "city": "Loveland",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805383203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.