Individual provider Active NPI

Sheila Renee Peto, LICDC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Rock Creek, OH
National Provider Identifier
1669039566
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.161734 Issued in OH
Practice address
2863 State Route 45 N
Rock Creek, OH 44084-9352
Phone
(440) 563-3400
NPI assigned
May 26, 2019
Last updated
May 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161734 OH Primary
Social Worker 104100000X S.0028368 OH

Addresses

Primary practice location

2863 State Route 45 N
Rock Creek, OH 44084-9352

Mailing address

PO Box 263
Rock Creek, OH 44084-0263
Phone (440) 563-3400

Other names 1

  • Sheila Renee Peto-Levicki Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheila.peto-levicki@glenbeigh.com Direct

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

State licenses

LicenseStateTypeSpecialty
LICDC.161734OHMDAddiction (Substance Use Disorder) Counselor
S.0028368OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1669039566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440840263",
            "telephone_number": "440-563-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 STATE ROUTE 45 N",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440849352",
            "telephone_number": "440-563-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETO",
        "first_name": "SHEILA",
        "middle_name": "RENEE",
        "credential": "LICDC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161734",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0028368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheila.peto-levicki@glenbeigh.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2863 State Route 45 N",
            "city": "Rock Creek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440849352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "PETO-LEVICKI",
            "middle_name": "RENEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Creek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; 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.