Active NPI
Allison Shaune
- Counselor
- Shelby Township, MI
National Provider Identifier
1013751874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451024292
- Practice address
- 13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767 - Phone
- (124) 848-3050
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451024292 | MI | Primary |
Addresses
Primary practice location
13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Mailing address
530 E Meldrum Cir
Saint Clair, MI 48079-4245
Phone (810) 824-0739
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024292 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1013751874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E MELDRUM CIR",
"city": "SAINT CLAIR",
"state": "MI",
"postal_code": "480794245",
"telephone_number": "810-824-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 23 MILE RD STE 103",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152767",
"telephone_number": "124-848-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUNE",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451024292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.