Sandra Shaffer

LBN: Shaffer Counseling & Consulting
Sandra Shaffer is an health care organization with primary practice located at 3475 Omro Rd Ste 400 , Oshkosh WI 54904-7126. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Shaffer Counseling & Consulting can be contacted via phone (920) 203-7565, or through Shaffer, Sandra Marie via phone (920) 896-0189.

Contact Information

Primary practice address
3475 Omro Rd Ste 400 Oshkosh WI 54904-7126
Phone: (920) 203-7565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaffer, Sandra Marie
Phone: (920) 896-0189

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1184230351
LBN Legal business name Shaffer Counseling & Consulting
DBA Doing business as Sandra Shaffer
Authorized official Shaffer, Sandra Marie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2020
Last updated Nov 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184230351 NPPES
Wisconsin Other 1184230351 NPI-TYPE 2
Wisconsin Other 1427228436 NPI-TYPE 2
Wisconsin Other 12349916 NPI-TYPE 2
Wisconsin MEDICAID 100102138 NPI-TYPE 2

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