Geri Shetka, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01243 Issued in MN

Practice address

220 Central Ave N Ste 100
Faribault, MN 55021-5221

Phone

(507) 338-0699

Fax

(507) 323-8204

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mindful Moments Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Prague, MN
  • NPI 1912517392
  NPD Authorized official
• Healthy Balance Psychology, LLC

  • Psychologist
  • Faribault, MN
  • NPI 1891312732
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1720439649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CENTRAL AVE N STE 100",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215221",
            "telephone_number": "507-338-0699",
            "fax_number": "507-323-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CENTRAL AVE N STE 100",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215221",
            "telephone_number": "507-338-0699",
            "fax_number": "507-323-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETKA",
        "first_name": "GERI",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Home Care, LLC
• Michael Seryakov, M.D.
• Marisa Luellamae Shackleford
• Heather Marie Shepherd, CMT
• Robert Warren Shepley, M.D.
• Shoptikal LLC
• Bimala Shrestha, DNP,APRN,CNP
• Maria Kathleen Shue, DO
• Paul N Siemers, D.C.
• Amy Simmons, L.P.T.

• Professional Counselor in Faribault, MN
• Providers in Faribault, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.