Active NPI
Shelley M. Geary, LCSW
- Mental Health Counselor
- Chandler, AZ
National Provider Identifier
1497908438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3099
- Practice address
- 3210 S Gilbert Rd Ste 1
Chandler, AZ 85286-5108 - Phone
- (541) 806-3747
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3099 | NE | Primary |
Addresses
Primary practice location
3210 S Gilbert Rd Ste 1
Chandler, AZ 85286-5108
Mailing address
3210 S Gilbert Rd
Ste 1
Chandler, AZ 85286-5108
Phone (541) 806-3747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17768 | Other | AZ | AZ LICENSE PROFESSIONAL COUNSELOR |
Other names 1
- Ms. Shelley Gould
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3099 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Center for Living | Mental Health | Past | Accepting new patients |
| Mid-Columbia Center for Living | Past | Accepting new patients | |
| Mid-Columbia Center for Living | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- The Dalles, OR
- NPI 1275954513
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- The Dalles, OR
- NPI 1699745794
-
- Community/Behavioral Health Agency
- Hood River, OR
- NPI 1831510155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635552000000",
"number": "1497908438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 S GILBERT RD",
"address_2": "STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865108",
"telephone_number": "541-806-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 S GILBERT RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865108",
"telephone_number": "541-806-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARY",
"first_name": "SHELLEY",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2021-10-30",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ LICENSE PROFESSIONAL COUNSELOR",
"identifier": "17768",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "GOULD",
"prefix": "MS.",
"credential": "LCSW, LIMHP, LMHP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.