Individual provider Active NPI

Sheila Beth Christy, MA

  • Marriage & Family Therapist
  • Mesa, AZ
National Provider Identifier
1437257359
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
15148 Issued in AZ
Practice address
4111 E Valley Auto Dr Ste 106
Mesa, AZ 85206-4607
Phone
(623) 225-9946
Fax
(480) 240-9335
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 2029 MN
Marriage & Family Therapist 106H00000X 15148 AZ Primary

Addresses

Primary practice location

4111 E Valley Auto Dr Ste 106
Mesa, AZ 85206-4607

Mailing address

1381 Leisure World
Mesa, AZ 85206-3032
Phone (623) 225-9946

Other practice location 1

1425 W Elliot Rd Ste 201
Gilbert, AZ 85233-5142
Phone (232) 259-9466

Other identifiers 1

IdentifierTypeStateIssuer
597K6WIOtherMNBCBS OF MN

Other names 1

  • Mrs. Sheila Beth Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2029MNMDMental Health Counselor
15148AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling PLLC CurrentSince May 8, 2022 Accepting new patients
Az Counselors LLC Marriage & Family Therapist PastSince Jul 31, 2023 Accepting new patients
Gilbert Counselors, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

4111 E Valley Auto Dr
Ste 106
Mesa, AZ 85206
Phone (602) 341-3495

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1437257359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 LEISURE WORLD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063032",
            "telephone_number": "623-225-9946",
            "fax_number": "480-240-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064607",
            "telephone_number": "623-225-9946",
            "fax_number": "480-240-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 W Elliot Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335142",
            "country_code": "US",
            "telephone_number": "232-259-9466",
            "fax_number": "320-253-1475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "SHEILA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2029",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "15148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "597K6WI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "WILSON",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.