Active NPI
Sharley J Cleveland, LIMHP, LADC
- Mental Health Counselor
- North Platte, NE
National Provider Identifier
1982953980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1452
- Practice address
- 109 E 2ND St Ste 10
North Platte, NE 69101-5474 - Phone
- (308) 660-9242
- Fax
- (308) 534-5749
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1452 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1104 | NE |
Addresses
Primary practice location
109 E 2ND St Ste 10
North Platte, NE 69101-5474
Mailing address
109 E 2ND St Ste 10
North Platte, NE 69101-5474
Phone (308) 660-9242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026442500 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1452 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1982953980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 2ND ST STE 10",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015474",
"telephone_number": "308-660-9242",
"fax_number": "308-534-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E 2ND ST STE 10",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015474",
"telephone_number": "308-660-9242",
"fax_number": "308-534-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "SHARLEY",
"middle_name": "J",
"credential": "LIMHP, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1452",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1104",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026442500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.