Active NPI
Sheila Elaine Roseneau
- Mental Health Counselor
- Lucerne, CA
National Provider Identifier
1649490111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6302 Thirteenth Avenue
Lucerne, CA 95458-1024 - Phone
- (707) 274-9101
- Fax
- (707) 274-9192
- NPI assigned
- Apr 26, 2007
- Last updated
- Jun 15, 2012
- 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 | NU | Primary |
Addresses
Primary practice location
6302 Thirteenth Avenue
Lucerne, CA 95458-1024
Mailing address
PO Box 1024
Lucerne, CA 95458-1024
Phone (707) 274-9101
Other names 1
- Mrs. Sheila Elaine Jeffers
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1649490111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1024",
"city": "LUCERNE",
"state": "CA",
"postal_code": "954581024",
"telephone_number": "707-274-9101",
"fax_number": "707-274-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 THIRTEENTH AVENUE",
"city": "LUCERNE",
"state": "CA",
"postal_code": "954581024",
"telephone_number": "707-274-9101",
"fax_number": "707-274-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENEAU",
"first_name": "SHEILA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "JEFFERS",
"middle_name": "ELAINE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lucerne, CA
- PSG-Dr. Gardner Outpatient Program
- Douglas Houston Reams, DDS
- Robert W. Gardner Dr. Gardner Outpatient Program
- Robert W. Gardner PSG-Dr. Gardner Outpatient Program
- Joanne Margaret Rode, PA
- Robyn Carrie Rosin, RAS
- Anthony Michael Sage
- Steven J Schepper, M.D.
- Deborah Annette Schmidt, LVN
- Gaylan Ruth Shepherd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.