Douglas J Shey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8076 Issued in ID

Practice address

410 S Orchard St Ste 124
Boise, ID 83705-1210

Phone

(208) 515-2127

Fax

(208) 600-6912

NPI assigned

Dec 19, 2010

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access Behavioral Health Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1487700589
  Medicare reassignment NPD
• Pathways of Idaho, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1326466988
  Medicare reassignment NPD
• Access Behavioral Health Services, Inc

  • Primary Care Clinic/Center
  • Boise, ID
  • NPI 1932506508
  NPD
• Sioux Trails Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Ulm, MN
  • NPI 1902909914
  NPD (past)

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

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1821391525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 124",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051210",
            "telephone_number": "208-515-2127",
            "fax_number": "208-600-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 124",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051210",
            "telephone_number": "208-515-2127",
            "fax_number": "208-600-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEY",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-19",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8076",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01913",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherwood Chiropractic
• Barry G. Sherwood, D.C.
• Charles T Sherwood, PA-C
• Michael Joseph Shevlin, MD
• Sarah K Shewayish, MD
• SHH Medical Group Idaho, LLC (Autumn Ridge Medical Group)
• Xiaoming Shi, MD
• Katrina Shibambo
• Joshua Shieh
• Ali Shields, LCSW

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.