Monica Lynn Shelton, MS

Individual provider Active NPI Marriage & Family Therapist · Bloomfield, IA

NPI 1003971664 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003971664
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
00195 (IA)
Practice address
29088 195TH St
Bloomfield, IA 52537-7983
Phone
(641) 675-3915
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00195IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health Rehab of Woodstock LLC Past
since Jun 10, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 00195 IA Yes

Addresses

Primary practice location

29088 195TH St
Bloomfield, IA 52537-7983

Mailing address

29088 195TH St
Bloomfield, IA 52537-7983
Phone (641) 675-3915

Other providers in Bloomfield, IA

All providers in Bloomfield, IA · Marriage & Family Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.