Individual provider Active NPI

Jess A Shelton

  • Counselor
  • Romeo, MI
National Provider Identifier
1033908918
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
143 W Saint Clair St
Romeo, MI 48065-4657
Phone
(586) 697-0019
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MI Primary

Addresses

Primary practice location

143 W Saint Clair St
Romeo, MI 48065-4657

Mailing address

44137 Bayview Ave Apt 49103
Clinton Township, MI 48038-1565
Phone (248) 252-4493

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obrien Chiropractic Clinic PC Multi-Specialty CurrentSince May 11, 2025 Accepting new patients
Allay Counseling PLLC Multi-Specialty CurrentSince May 11, 2025 Accepting new patients

Locations

143 W Saint Clair St
Romeo, MI 48065
Phone (586) 697-0019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1033908918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44137 BAYVIEW AVE APT 49103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381565",
            "telephone_number": "248-252-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W SAINT CLAIR ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654657",
            "telephone_number": "586-697-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JESS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.