Individual provider Active NPI

Leigh Shindelar, M.A., LPC

  • Counselor
  • Dewitt, MI
National Provider Identifier
1013459155
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015500 Issued in MI
Practice address
11382 Wilson St
Dewitt, MI 48820-9266
Phone
(541) 870-1857
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015500 MI
Counselor 101Y00000X 6401015500 MI Primary

Addresses

Primary practice location

11382 Wilson St
Dewitt, MI 48820-9266

Mailing address

11382 Wilson St
Dewitt, MI 48820-9266
Phone (541) 870-1857

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401015500MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leigh Shindelar, PLLC Professional CurrentSince Sep 25, 2022 Accepting new patients
Michigan Therapeutic Consultants PC PastSince Sep 15, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1013459155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11382 WILSON ST",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209266",
            "telephone_number": "541-870-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11382 WILSON ST",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209266",
            "telephone_number": "541-870-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDELAR",
        "first_name": "LEIGH",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015500",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; 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.