Individual provider Active NPI

Shirley A Webster, MFT, LADC, LPC

  • Mental Health Counselor
  • Washoe Valley, NV
National Provider Identifier
1750453031
Registry record updated Nov 16, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
137 Issued in AK
Practice address
3275 Lakeshore Drive
HTN
Washoe Valley, NV 89704
Phone
(775) 849-3434
Fax
(775) 849-3435
NPI assigned
Nov 14, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 137 AK Primary

Addresses

Primary practice location

3275 Lakeshore Drive
HTN
Washoe Valley, NV 89704

Mailing address

3275 Lake Shore Dr
Washoe Valley, NV 89704-9249
Phone (775) 849-3434

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
137AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healtherapy of Nevada Past Accepting new patients
Healtherapy of Nevada Past Accepting new patients

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1750453031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 LAKE SHORE DR",
            "city": "WASHOE VALLEY",
            "state": "NV",
            "postal_code": "897049249",
            "telephone_number": "775-849-3434",
            "fax_number": "775-849-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 LAKESHORE DRIVE",
            "address_2": "HTN",
            "city": "WASHOE VALLEY",
            "state": "NV",
            "postal_code": "89704",
            "telephone_number": "775-849-3434",
            "fax_number": "775-849-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "SHIRLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MFT, LADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washoe Valley, NV

Sources for this page

Verify at the official NPI Registry.