Jennifer Leigh Shields

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18744 Issued in CA

Practice address

2255 Myrtle Ave
Eureka, CA 95501-3387

Phone

(707) 444-8293

NPI assigned

Jan 27, 2022

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)

Not 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.

• Covenant Counseling Center

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1497923312
  NPD (past)
• Remi Vista Inc.

  • Case Management Agency
  • Eureka, CA
  • NPI 1558314161
  NPD (past)

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1821741125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013325",
            "telephone_number": "707-444-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013387",
            "telephone_number": "707-444-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "18744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sheets, PHARM. D.
• Amanda Shelton
• Arris Shelton
• Scott Lloyd Sherman, MFC
• Wylie Sherrow
• Nathan M Shishido, M.D.
• Michelle Shively
• Russell Shively
• Prabhat Shrestha, MD
• Prastuti Shrestha

• Mental Health Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.