JEREMY SHELBY (NPI# 1528436540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528436540 |
| Entity Type | Individual |
| Full Name | JEREMY SHELBY |
| Credential | LPC, LAMFT |
| Practice Address |
106 S Spring St Searcy AR 72143-7717 |
| Mailing Address |
1103 Dobbins Dr Searcy AR 72143-3811 |
| Practice Telephone | 5012791191 |
| Practice Fax Number | 5013130032 |
| Mailing Telephone | 5013887382 |
| Mailing Fax Number | 5018253077 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1908004 | AR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | F1512018 | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1507 E. Race St., Searcy, AR 721434661 | 5013052359 | 5013052348 |
| 505 S Elm St Ste C, Searcy, AR 721436604 | 5018253077 | 5018253077 |
| Street Address |
106 S SPRING ST |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366773913 | Jessica Scott | Counselor | 106 S Spring St, Searcy, AR 72143-7717 | 2010-01-21 |
| 1508279126 | Sarah Dempsey | Case Manager/Care Coordinator | 106 S Spring St, Searcy, AR 72143-7717 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1417307018 | Nathan Lawrence Sharp | Counselor | 405 W Arch Ave, Searcy, AR 72143-5202 | 2016-06-15 |
| 1346607082 | Elizabeth Howey | Counselor | 107 E Arch Ave, Searcy, AR 72143-7705 | 2016-01-26 |
| 1902163900 | Aleksander Fatula | Counselor | 707 W Center Ave, Searcy, AR 72143-5235 | 2012-04-13 |
| 1093960411 | Sean Michael Ronnau | Counselor | 111 W Booth Rd, Searcy, AR 72143-8829 | 2008-11-26 |
| 1497959118 | Russell W. Meadows | Counselor | 707 W Beebe Capps Expy, Searcy, AR 72143-6303 | 2007-06-14 |
| 1518161645 | Joe Doran Stake | Counselor | 2204 Clara St, Searcy, AR 72143 | 2007-06-13 |
| 1710057393 | Robert Channing | Counselor | 505 S Elm St Ste C, Searcy, AR 72143-6604 | 2006-11-09 |
| 1346706678 | Loren K Beason | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2019-02-12 |
| 1841776440 | Amanda Marie Hardison | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2018-07-17 |
| Find all providers in SEARCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.