Bren Shantz, LPC, LLP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014444 Issued in MI

Practice address

4890 11 Mile Rd NE
Rockford, MI 49341-8477

Phone

(616) 439-1866

NPI assigned

Aug 25, 2015

Sex

Male

Sole proprietor

No

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.

• Unity Counseling LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1285299032

  Professional

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2019.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1003283169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464301",
            "telephone_number": "616-439-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 11 MILE RD NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418477",
            "telephone_number": "616-439-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTZ",
        "first_name": "BREN",
        "credential": "LPC, LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301016034",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsy Scott
• Anita Bridget Sebastian, D.O.
• Brian John Seely, PSY.D.
• Carrie Christine Sees, O.D.
• Theodore Francis Sees, O.D.
• Emily Sherburn, PA-C
• Dana Shoskey, P.T.,D.P.T
• Amy Sierz
• Miles Skalnek
• Emily Slagter

• All providers in Rockford, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.