Individual provider Active NPI

Katheryn Leigh Shelton, LMHC, ATR

  • Mental Health Counselor
  • Carmel, IN
National Provider Identifier
1083117105
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003241A Issued in IN
Practice address
600 E Carmel Dr Ste 119
Carmel, IN 46032-3049
Phone
(317) 300-5362
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003241A IN Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 119
Carmel, IN 46032-3049

Mailing address

14847 Senator Way
Carmel, IN 46032-5128
Phone (812) 661-8356

Other names 1

  • Katheryn Leigh White Former name

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

LicenseStateTypeSpecialty
39003241AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Expressive Healing LLC Mental Health CurrentSince Oct 13, 2024 Accepting new patients

Locations

600 E Carmel Dr
Ste 119
Carmel, IN 46032
Phone (317) 300-5362

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.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1083117105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14847 SENATOR WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325128",
            "telephone_number": "812-661-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 119",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323049",
            "telephone_number": "317-300-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KATHERYN",
        "middle_name": "LEIGH",
        "credential": "LMHC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003241A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYN",
            "last_name": "WHITE",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.