Active NPI
Shea Counseling LLC
- Community/Behavioral Health Agency
- Neenah, WI
National Provider Identifier
1992410997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHEA COUNSELING LLC
- Practice address
- 1605 Bluebird CT
Neenah, WI 54956-1991 - Phone
- (208) 553-0918
- NPI assigned
- Jan 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Shea, LCSW
- Title
- Owner
- Phone
- (208) 553-0918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1605 Bluebird CT
Neenah, WI 54956-1991
Mailing address
1605 Bluebird CT
Neenah, WI 54956-1991
Phone (208) 553-0918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952840563 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | julie@sheacounselingllc.com | Direct |
National Provider Directory
National Provider DirectoryLocations
704 Sand Lake Rd
Ste 207E
Onalaska, WI 54650
Phone (608) 218-4245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673827200000",
"number": "1992410997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 BLUEBIRD CT",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561991",
"telephone_number": "208-553-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 BLUEBIRD CT",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561991",
"telephone_number": "208-553-0918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEA COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-14",
"status": "A",
"authorized_official_last_name": "SHEA",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-553-0918",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952840563",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "julie@sheacounselingllc.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1605 Bluebird Ct",
"city": "Neenah",
"state": "WI",
"country_code": "US",
"postal_code": "549561991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.