Rhonda Jo Shotwell, LCSW
Individual provider Active NPI Mental Health Counselor · Bloomfield, IN
NPI 1821828971 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1821828971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 34007443A (IN)
- Practice address
- 2359 S Maple Rd
Bloomfield, IN 47424-5597 - Phone
- (317) 501-8226
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007443A | IN | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 34007443A | IN | |
| Mental Health Counselor | 101YM0800X | 34007443A | IN | Yes |
Addresses
Primary practice location
2359 S Maple Rd
Bloomfield, IN 47424-5597
Mailing address
2359 S Maple Rd
Bloomfield, IN 47424-5597
Phone (317) 501-8226
Other providers in Bloomfield, IN
- Kimberly Alaine Riggins
- Ronald Jay Munden, D.D.S.
- Jody Lynn Root
- Kami Ross
- See Purpose LLC
- Elizabeth Sickels
- Jodi Stewart
- Melody Valente
- James C Vandeventer
- Kari Wagner
All providers in Bloomfield, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.