Organization Active NPI

One Breath Healing LLC

  • Adult Mental Health Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1538647045
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ONE BREATH HEALING LLC
Practice address
19175 N 95TH PL
Scottsdale, AZ 85255-5573
Phone
(818) 585-2760
NPI assigned
Aug 6, 2018
Last updated
Jan 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Ms. Sheila M Shervey, LMFTNPI 1023203320
Title
Managing Member
Phone
(818) 585-2760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

19175 N 95TH PL
Scottsdale, AZ 85255-5573

Mailing address

19175 N 95TH PL
Scottsdale, AZ 85255-5573
Phone (818) 588-6275

Other practice location 1

8360 E Via De Ventura Ste L-240
Scottsdale, AZ 85258-3172
Phone (818) 585-2760

Other identifiers 2

IdentifierTypeStateIssuer
LMFT-15266OtherAZMARRIAGE AND FAMILY THERAPY LICENSE
53680OtherCAMARRIAGE AND FAMILY THERAPY LICENSE

National Provider Directory

National Provider Directory

Locations

8360 E Via de Ventura
Ste L240
Scottsdale, AZ 85258
Phone (818) 585-2760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1538647045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19175 N 95TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555573",
            "telephone_number": "818-588-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19175 N 95TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555573",
            "telephone_number": "818-585-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8360 E Via De Ventura Ste L-240",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852583172",
            "country_code": "US",
            "telephone_number": "818-585-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE BREATH HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "SHERVEY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-585-2760",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPY LICENSE",
            "identifier": "LMFT-15266",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPY LICENSE",
            "identifier": "53680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.