MR. JEFFERY EVERETT SHIVELY


Address: 354 Charterhouse Ct, Canton, MI 48188-1520
Phone: 7346254524

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 354 CHARTERHOUSE CT
City CANTON
State MI
Zip Code 48188-1520

Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CANTON
Zip Code 48188

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Dataset Information

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.

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