Individual provider Active NPI

Chelsea Lynn Sheedy, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1447748660
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9662316-6004 Issued in UT
Practice address
124 S 400 E Ste 300
Salt Lake City, UT 84111-5307
Phone
(801) 467-2863
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9662316-6009 UT
Mental Health Counselor 101YM0800X 9662316-6004 UT Primary

Addresses

Primary practice location

124 S 400 E Ste 300
Salt Lake City, UT 84111-5307

Mailing address

211 Central Ave
Whitefish, MT 59937-2661
Phone (406) 885-6315

Other practice location 1

211 Central Ave
Whitefish, MT 59937-2661
Phone (406) 885-6315

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
9662316-6004UTMDMental Health Counselor
9662316-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amethyst Center for Healing Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1447748660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CENTRAL AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372661",
            "telephone_number": "406-885-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S 400 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841115307",
            "telephone_number": "801-467-2863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599372661",
            "country_code": "US",
            "telephone_number": "406-885-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEDY",
        "first_name": "CHELSEA",
        "middle_name": "LYNN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9662316-6009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9662316-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.