Shelley Sue Stisser, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0155941 Issued in NM

Practice address

8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155

Phone

(505) 856-0300

Fax

(505) 856-7946

NPI assigned

Nov 19, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Shelley Sue Stisser-McCraigh Other name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• NM HMO C-SNP
• TX HMO D-SNP
• CO HMO
• TX HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NM

  Medicare reassignment NPD
• Dressner Counseling Services Inc

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1669794558
  NPD (past)
• Sonoran Life Solutions, Inc.

  • Professional Counselor
  • Peoria, AZ
  • NPI 1912155367
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003061946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9342 S 182ND LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385254",
            "telephone_number": "623-810-7266",
            "fax_number": "623-321-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093155",
            "telephone_number": "505-856-0300",
            "fax_number": "505-856-7946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 N 94th Dr Ste K3",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814249",
            "country_code": "US",
            "telephone_number": "623-974-3333",
            "fax_number": "623-974-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STISSER",
        "first_name": "SHELLEY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC12877",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0155941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "STISSER-MCCRAIGH",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Minda Jane Stillings, LPC
• Kirstin Stillwell, M.A. LPCC
• Helene M Stilman, MSW
• Grace-Anne Stimpson, MSN, PMHNP-BC
• Stimulating Minds Autism Clinic, LLC
• Danniel Stites
• Emily Stith, PSYD
• Shannon Marquett Stitson-Thurman
• Nicole Stivers, CRNA
• Darryl James Stock

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.