KRISTEN M SHEALY (NPI# 1891929212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891929212 |
| Entity Type | Individual |
| Full Name | KRISTEN M SHEALY |
| Credential | EDM; CAS; LPC |
| Practice Address |
1012 Anna Knapp Ext Mt Pleasant SC 29464-5400 |
| Practice Telephone | 8438000626 |
| Practice Fax Number | 8438840061 |
| Mailing Telephone | 8438000626 |
| Mailing Fax Number | 8438840061 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 5762 | SC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5762 | SC | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
5762 | SC | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
419253 | MA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 59454 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 Ashley Ave, Charleston, SC 294258908 | 8437921414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184019796 | Kristen Shealy | Internal Medicine | 1430 Tulane Ave, Sl-50, New Orleans, LA 70112-2632 | 2015-03-31 |
| Street Address |
1012 ANNA KNAPP EXT |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700280633 | Lynne Ravenel | Social Worker | 1012 Anna Knapp Ext, Mt Pleasant, SC 29464-5400 | 2014-10-21 |
| 1962740803 | Martha H. Adams | Counselor | 1012 Anna Knapp Ext, Mt Pleasant, SC 29464-5400 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335596 | Rex Alan Dula Jr. | Counselor | 222 W Coleman Blvd Ste 216, Mt Pleasant, SC 29464-3588 | 2020-07-31 |
| 1649713629 | Cynthia Stansell | Counselor | 309 County Road 4660, Mt Pleasant, TX 75455-1057 | 2016-11-23 |
| 1265983993 | Kristie Birchmeier | Counselor | 107 E Illinois St, Mt Pleasant, MI 48858-2503 | 2016-10-18 |
| 1922467885 | Kathryn Brown | Counselor | 1001 Fairfield Dr, Mt Pleasant, MI 48858-4317 | 2016-02-19 |
| 1447617097 | Center of Hope Counseling | Counselor | 113 W Broadway St, Suite 115, Mt Pleasant, MI 48858-4800 | 2016-01-26 |
| 1669845293 | Kelly Quarles | Counselor | 501 Belle Hall Pkwy Unit 202, Mt Pleasant, SC 29464 | 2015-11-04 |
| 1437547221 | Cherie Lalone | Counselor | 950 E Pickard Rd, Mt Pleasant, MI 48858-8241 | 2014-12-31 |
| 1942617857 | Sarah Zacharias | Counselor | 1636 Babington Way, Mt Pleasant, SC 29464-9747 | 2014-07-14 |
| 1336480540 | Annette Christine Crichton | Counselor | 1240 Winnowing Way Unit 102, Mt Pleasant, SC 29466-7531 | 2013-03-13 |
| 1841561123 | Jessica C Gregg | Counselor | 106 Pitt St, Mt Pleasant, SC 29464-5319 | 2012-01-19 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on KRISTEN M SHEALY.
| 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.