Individual provider Active NPI

Jeffrey T Sheley, LPC

  • Professional Counselor
  • Grand Junction, CO
National Provider Identifier
1740059062
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0017906 Issued in CO
Practice address
2938 North Ave Ste E
Grand Junction, CO 81504-5797
Phone
(970) 245-1616
Fax
(970) 241-8722
NPI assigned
Dec 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0017906 CO Primary

Addresses

Primary practice location

2938 North Ave Ste E
Grand Junction, CO 81504-5797

Mailing address

2977 Fenwick LN
Grand Junction, CO 81504-4508
Phone (970) 759-0910

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
0017906COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ariel Clinical Services Professional CurrentSince Jan 28, 2024 Accepting new patients
Jeffrey T Therapy LLC Professional Current Accepting new patients

Locations

2938 North Ave
Ste E
Grand Junction, CO 81504
Phone (970) 245-1616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1740059062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 FENWICK LN",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815044508",
            "telephone_number": "970-759-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 NORTH AVE STE E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045797",
            "telephone_number": "970-245-1616",
            "fax_number": "970-241-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELEY",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.