Active NPI
Adrienne Josephine Shiels, LLMSW
- Counselor
- Petoskey, MI
National Provider Identifier
1053923045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6801107812
- Practice address
- 2202 Mitchell Park Dr Ste 2B
Petoskey, MI 49770-8897 - Phone
- (231) 487-2215
- NPI assigned
- Aug 20, 2020
- 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 | 6801107812 | MI | Primary |
Addresses
Primary practice location
2202 Mitchell Park Dr Ste 2B
Petoskey, MI 49770-8897
Mailing address
2202 Mitchell Park Dr Ste 2B
Petoskey, MI 49770-8897
Phone (231) 487-2215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801107812 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1053923045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 MITCHELL PARK DR STE 2B",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708897",
"telephone_number": "231-487-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 MITCHELL PARK DR STE 2B",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708897",
"telephone_number": "231-487-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELS",
"first_name": "ADRIENNE",
"middle_name": "JOSEPHINE",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6801107812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.