SHELLY ANTOINETTE JETER LMHC
NPI 1023739844
Counselor - Mental Health in New York, NY

Q: What is Shelly Jeter's NPI number?

The NPI number for Shelly Jeter is 1023739844. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Q: What is Shelly Jeter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Jeter was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2022

114 5TH AVE, NEW YORK, NY 10011(215) 440-6626 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shelly Antoinette Jeter Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY ANTOINETTE JETER LMHC (NPI 1023739844) is an individual mental health provider in New York, New York, licensed in New York (012812) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1023739844

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHELLY ANTOINETTE JETERCredential: LMHC

Location Address114 5TH AVENew York, NY 10011-5604

Mailing Address41 Elm StCentral Islip, NY 11722-4146 · (631) 334-5907

Phone(215) 440-6626

Sole ProprietorYes

Enumeration DateSeptember 9, 2022

NPPES CertifiedSeptember 9, 2022

✔ NPI 1023739844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 012812

114 5TH AVE, New York, NY 10011

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL LEE

Marriage & Family Therapist

114 5TH AVE
NEW YORK, NY 10011

New York County (619) 633-7855

GAY GOODWIN WICKHAM LPC

Counselor (Professional)

114 5TH AVE
NEW YORK, NY 10011

New York County (516) 862-4673

GINA ELAINE MAJOR

Counselor (Mental Health)

114 5TH AVE, FL 2
NEW YORK CITY, NY 10011

New York County (929) 294-6748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Jeter's NPI number?

The NPI number for Shelly Jeter is 1023739844. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Shelly Jeter located?

Shelly Jeter practices at 114 5th Ave, New York, NY 10011. The listed phone number is (215) 440-6626.

What is Shelly Jeter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shelly Jeter was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.