Vivian Tarvin Shields, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C0269 Issued in MS

Practice address

263 Forest Valley Dr
Jackson, MS 39212-3800

Phone

(601) 371-8937

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• American Psych Associates, Inc.

  • Adult Mental Health Clinic/Center
  • Ridgeland, MS
  • NPI 1225271760
  NPD (past)
• Healthcare Advantage LLC

  • Mental Health Counselor
  • Madison, MS
  • NPI 1861727034
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497891121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FOREST VALLEY DRIVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39212",
            "telephone_number": "601-371-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FOREST VALLEY DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123800",
            "telephone_number": "601-371-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "VIVIAN",
        "middle_name": "TARVIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "C0269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry V. Sparks, LCSW, LLC
• Charles Gerard Sherwood, MD
• Julia A. Sherwood, M.D.
• Michelle Manali Sheth, MD
• Micaela Lantrese Shields
• Amber McGrath Shiflett, MD
• James Mason Shiflett, M.D.
• Kynetta Shinard, PCMHT
• Hetal Shingrani
• Sonya Rochelle Shipley, M.D.

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• 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.