JERRY ALAN SHIELDS
NPI 1982239901
Counselor - Mental Health in Santa Rosa, CA

Q: What is Jerry Shields's NPI number?

The NPI number for Jerry Shields is 1982239901. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Q: What is Jerry Shields'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 Jerry Shields was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 10, 2020

1550 N DUTTON AVE, SANTA ROSA, CA 95401(707) 236-6696(707) 236-6695 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jerry Alan Shields NPPES

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

JERRY ALAN SHIELDS (NPI 1982239901) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1982239901

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJERRY ALAN SHIELDS

Location Address1550 N DUTTON AVESanta Rosa, CA 95401-4601

Mailing Address131 Madrigal StRohnert Park, CA 94928-2316 · (707) 318-8745

Phone(707) 236-6696

Fax(707) 236-6695

Sole ProprietorYes

Enumeration DateMarch 10, 2020

NPPES CertifiedMarch 10, 2020

✔ NPI 1982239901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1550 N DUTTON AVE, Santa Rosa, CA 95401

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Other Providers at the Same Location NPPES 10

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

HAROLD JOSEPH BAHR

Counselor (Mental Health)