Teresa Kay Sibert, NCC LICDC PCCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E3930PCCSUPERVISOR Issued in PW

Practice address

96 Graham Rd
Suite a Reserve Psychological Consultants Inc
Cuyahoga Falls, OH 44223

Phone

(330) 929-1326

Fax

(330) 929-1324

NPI assigned

Jun 6, 2007

Last updated

Nov 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio Treatment Center, LLC

  dba Canton Comprehensive Treatment Center

  • Methadone Clinic
  • Massillon, OH
  • NPI 1295233054
  NPD (past)
• Reserve Psychological Consultants Inc

  • Professional Counselor
  • Cuyahoga Falls, OH
  • NPI 1255519187
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1831392182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GRAHAM RD",
            "address_2": "SUITE A RESERVE PSYCHOLOGICAL CONSULTANTS INC",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GRAHAM RD",
            "address_2": "SUITE A RESERVE PSYCHOLOGICAL CONSULTANTS INC",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBERT",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "NCC LICDC PCCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "021004LICDCCHEMICALD",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PW",
            "license": "E3930PCCSUPERVISOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sheets, IMFT
• Madison Nicole Sheppard, PA-C
• Lance Aaron Shilliam, M.D.
• Kathleen M Shoemaker, D.O.
• Stephanie Shorie
• Jacob Sieger
• Silver Birch of Cuyahoga Falls LLC
• Carly Simes, LPN
• Carl Greer Simmers, DO
• David Michael Sinar, D.D.S.

• Professional Counselor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.