Organization Active NPI

Shea Counseling LLC

  • Community/Behavioral Health Agency
  • Neenah, WI
National Provider Identifier
1992410997
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jan 16, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1952840563MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL julie@sheacounselingllc.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.