Shelly Rae Ehmann, MC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-2472 Issued in AZ

Practice address

105 N 5TH Ave
Holbrook, AZ 86025-2817

Phone

(928) 524-6126

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  AZ

  Medicare reassignment Care Compare group
• Turnwell Mental Health of Arizona, PC

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1639872518
  Medicare reassignment NPD
• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
  • NPI 1689212508
  NPD (past)
• Scottsdale Mental Health and Wellness Institute

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1366968125
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1083841928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 VIEW WAY",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295549",
            "telephone_number": "928-242-8729",
            "fax_number": "928-368-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 5TH AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252817",
            "telephone_number": "928-524-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHMANN",
        "first_name": "SHELLY",
        "middle_name": "RAE",
        "credential": "MC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Bridges, Inc. (Albert Long Residential Program)
• Amity Craig, MS, CCC-SLP
• Bonita Faye Dalton, M.S.,OTR/L
• Anthony D Dixon, PT, DPT
• Heber George Dutson, FNP
• El Rio Santa Cruz Neighborhood Health Center Inc (Elk Ridge Holbrook)
• Leighanne Gentile Ervien
• Family Healing Center, P.C.
• Kari Fish, DMD
• Janette Luanne Fiske, COTA/L

• Professional Counselor in Holbrook, AZ
• Providers in Holbrook, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.