Raymond C. Shields, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC10164 Issued in AZ

Practice address

813 W Elliot Rd Ste 3
Chandler, AZ 85225-1887

Phone

(602) 274-4479

Fax

(602) 274-4496

NPI assigned

Jul 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Reflections Counseling & Educational Services LTD

  • Professional Counselor
  • Chandler, AZ
  • NPI 1922279231
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346260981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W ELLIOT RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251887",
            "telephone_number": "602-274-4479",
            "fax_number": "602-274-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W ELLIOT RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251887",
            "telephone_number": "602-274-4479",
            "fax_number": "602-274-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RAYMOND",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC10164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED COUNSELOR",
            "identifier": "LPC10164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Katherine Shetlar, PSY.D.
• Jacob Hyrum Shettell
• Wei-Jen Sheu, ACNP
• Yinzhi Shi
• Brent Shields, RPH
• Nichole Rashel Shiffler, NMD
• Anne Shilling, PA-C
• Simon J Shim, PHD, LAC
• Bonnie Shimko, RPH
• Erica Shimkus, FNP-C

• Mental Health Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.