V Susan L. Shea
NPI 1073039715ActiveIndividual· Counselor, Professional· Bloomfield, MO
Counselor, Professional with Bootheel Counseling Services, practicing in Bloomfield, Missouri. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1073039715 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 15, 2017 |
| Last updated in NPPES | Jun 26, 2026 |
| Certified by provider | Jun 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 000667 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MO) |
|---|
Education and affiliations
| Graduation year | 1983 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Bootheel Counseling ServicesSikeston, MO · 21 clinicians