MR. JEFFERY EVERETT SHIVELY (NPI# 1750771747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750771747 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY EVERETT SHIVELY |
| Practice Address |
354 Charterhouse Ct Canton MI 48188-1520 |
| Practice Telephone | 7346254524 |
| Mailing Telephone | 7346254524 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
354 CHARTERHOUSE CT |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053888446 | Kerry Anne Minshew | Counselor | 42283 Highgate Ct, Canton, MI 48187-3523 | 2018-10-24 |
| 1285109132 | Rebekah Watkins LLC | Counselor | 2800 Market Ave N, Canton, OH 44714-1781 | 2018-10-08 |
| 1518432624 | Beverly Ann Tweedy | Counselor | 843 44th Street Nw, Unit #a, Canton, OH 45709-1647 | 2018-10-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1588146989 | Donna Gail Feinberg Rachwal | Counselor | 35 Shawmut Rd, Canton, MA 02021-1408 | 2018-08-31 |
| 1801373568 | Bethany Moulton | Counselor | 46972 Bartlett Dr, Canton, MI 48187-1409 | 2018-07-25 |
| 1255823555 | Sikeria Caldwell | Counselor | 7752 N Canton Center Rd, Canton, MI 48187-1328 | 2018-06-01 |
| 1922538099 | Heather Filippelli | Counselor | 43825 Michigan Ave # 1, Canton, MI 48188-2551 | 2017-06-12 |
| 1093166969 | Darnell Daniels | Counselor | 3395 Creeks Bend Ct, Canton, MI 48188-2386 | 2016-06-22 |
| 1609243419 | Eric Humble | Counselor | 359 Troy St, Canton, PA 17724-1015 | 2015-08-27 |
| Find all providers in CANTON | ||||
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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.