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SHEILA M VANDERBUR
NPI 1154961696
Counselor - Professional in Cincinnati, OH

Active since January 13, 2020PECOS Enrolled
5050 MADISON RD, CINCINNATI, OH 45227(513) 272-2800 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2024, Apr 3, 2023, Jan 13, 2020 (3 updates tracked since 2020).

About Sheila M Vanderbur NPPES

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

SHEILA M VANDERBUR (NPI 1154961696) is an individual professional provider in Cincinnati, Ohio, licensed in Ohio (E.2303316) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154961696
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHEILA M VANDERBUR
Location Address5050 MADISON RDCincinnati, OH 45227-1491
Mailing Address5050 Madison RdCincinnati, OH 45227-1491 · (513) 272-2800 · Fax (513) 272-2807
Phone(513) 272-2800
Sole ProprietorYes
Enumeration DateJanuary 13, 2020
Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1154961696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2303316
5050 MADISON RD, Cincinnati, OH 45227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheila M Vanderbur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sheila Vanderbur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trihealth H LLC
6.3 mi
Internal Medicine
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1659783793 (513) 862-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

AMY ROBERTS
Specialist
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
COLLEEN MARIE JOYCE MSW, LISW
Social Worker (Clinical)
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
KAREN DAVIS
Case Manager/Care Coordinator
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
MISS SARAH MARIE CLARK COUNSELOR TRAINEE
Counselor (Mental Health)
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
MRS. KAREN MAY SHESHULL LPCC
Counselor (Professional)
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
KARIN TAKAHASHI
Case Manager/Care Coordinator
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
HOPE ABIGAIL DAVIS
Specialist
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800
ELAINE RUTH DRAKOS LISW
Social Worker
5050 MADISON RD
CINCINNATI, OH 45227
Hamilton County (513) 272-2800

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 Sheila Vanderbur's NPI number?

The NPI number for Sheila Vanderbur is 1154961696. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Sheila Vanderbur located?

Sheila Vanderbur practices at 5050 Madison Rd, Cincinnati, OH 45227. The listed phone number is (513) 272-2800.

What is Sheila Vanderbur's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sheila Vanderbur enrolled in Medicare?

Yes. Sheila Vanderbur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheila Vanderbur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Vanderbur reassigns Medicare benefits to Trihealth H LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheila Vanderbur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Vanderbur accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Sheila Vanderbur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheila Vanderbur was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.