MR. STEPHEN WILLIAM SHIELDS I


Address: 5940 Crooked Creek Dr, Cpc LLC, Indianapolis, IN 46228-1236
Phone: 3174572848

MR. STEPHEN WILLIAM SHIELDS I (NPI# 1831119007) 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) 1831119007
Entity Type Individual
Full Name MR. STEPHEN WILLIAM SHIELDS I
Other Name MR. STEPHEN WILLIAM SHIELDS I
Credential M.A. LMHC LCAC
Practice Address 5940 Crooked Creek Dr
Cpc LLC
Indianapolis
IN 46228-1236
Practice Telephone 3174572848
Practice Fax Number 3176402822
Mailing Telephone 3174572848
Mailing Fax Number 3176402822
Enumeration Date 2006-07-20
Last Update Date 2013-12-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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Office Location

Street Address 5940 CROOKED CREEK DR
CPC LLC
City INDIANAPOLIS
State IN
Zip Code 46228-1236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275797300 Glendia Diane Butts Occupational Therapist 3644 West 48th Street, Indianapolis, IN 46228 2008-07-17
1073573465 Michael W. Lane Specialist 5035 W. 71st St., Ste E, Indianapolis, IN 46228 2006-03-28
1730186628 Marimelia Skovronsky Ophthalmology 1017 W 52nd St, Indianapolis, IN 46228 2005-07-07
1235200742 Gental Hands Home Health Home Health 5960 Manning Rd, Indianapolis, IN 46228-1081 2006-11-13
1710170220 Vetra Davis Home Health 5960 Manning Rd, Indianapolis, IN 46228-1081 2007-08-20
1811453814 Terry Anthony Webster Jr. Day Training/Habilitation Specialist 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 2019-02-14
1679039671 T3 Impact Inc. Counselor 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 2019-02-14
1962974097 Donovan Pettiford Private Vehicle 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 2018-12-31
1134217201 Springfield Health Care Center, Inc Skilled Nursing Facility 6130 Michigan Rd, Indianapolis, IN 46228-1200 2006-10-11
1134767692 Shannon Alford Counselor 6130 Michigan Rd, Indianapolis, IN 46228-1200 2019-12-16
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1982216917 A Safe Home LLC Counselor 6201 La Pas Trl Ste 170, Indianapolis, IN 46268-2573 2020-08-20
1295378941 Adriaka Tina Jackson Counselor 5868 E 71st St Ste E-630, Indianapolis, IN 46220-4075 2019-10-25
1356991434 Kimberly Curry Counselor 506 W 26th St, Indianapolis, IN 46208-5518 2019-09-19
1154976546 Carmen Kennedy Counselor 4710 E 30th St, Indianapolis, IN 46218-3109 2019-08-02
1487208930 Darryl K Webster Counselor 4901 E. 31st Street, Indianapolis, IN 46218 2019-08-01
1780238238 Rhonda Y. Battles Counselor 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 2019-08-01
1154983583 Ava Richardson Counselor 4072 Sawyer St, Indianapolis, IN 46226-4953 2019-07-05
1912461823 Experience, Strength, Hope, LLC. Counselor 4954 E 56th St Ste 8, Indianapolis, IN 46220-5769 2019-01-24
1407322076 Progress House, Inc. Counselor 201 Shelby St, Indianapolis, IN 46202-3943 2018-10-22
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Competitor

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City INDIANAPOLIS
Zip Code 46228

Improve Information

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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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