Organization Active NPI

Jill Sheldon Counseling LLC

  • Clinical Social Worker
  • Deland, FL
National Provider Identifier
1578091385
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12121 Issued in FL
Legal business name
JILL SHELDON COUNSELING LLC
Practice address
333 W Wisconsin Ave
Deland, FL 32720-4132
Phone
(386) 337-4308
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Ms. Jill Sheldon, LCSWNPI 1649707993
Title
MGR
Phone
(386) 337-4308

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW12121 FL Primary

Addresses

Primary practice location

333 W Wisconsin Ave
Deland, FL 32720-4132

Mailing address

333 W Wisconsin Ave
Deland, FL 32720-4132
Phone (386) 337-4308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210308002692 FL Part B Supplier - Clinic/Group Practice 0648686147 Receives reassigned benefits from 1 practitioner
Practice locations: Deland, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1578091385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W WISCONSIN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204132",
            "telephone_number": "386-337-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W WISCONSIN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204132",
            "telephone_number": "386-337-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL SHELDON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "386-337-4308",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.