Shannon E. Aardema, LPC
Individual provider Active NPI Professional Counselor · Kalamazoo, MI
NPI 1093070153 · NPPES record last updated Nov 23, 2025
Key facts
- NPI
- 1093070153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401013100 (MI)
- Practice address
- 5380 Holiday Ter Ste 45
Kalamazoo, MI 49009-2128 - Phone
- (269) 447-0979
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607003469 | MI | Practitioner - Mental Health Counselor | 0840732665 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Solutions | Professional | Current |
Accepting new patients |
| Lindsay P. South, Ma PLLC | Current |
Accepting new patients |
Locations
4341 S Westnedge Ave
Ste 1106
Kalamazoo, MI 49008
Phone (269) 312-1446
1591 W Centre Ave
Ste 103
Portage, MI 49024
Phone (269) 254-6678
1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013100 | MI | Yes |
Addresses
Primary practice location
5380 Holiday Ter Ste 45
Kalamazoo, MI 49009-2128
Mailing address
PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446
Other practice location 1
4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283
Phone (269) 312-1446
Other providers in Kalamazoo, MI
- 6 Ray Healing
- A Global Homecare LLC
- Lynnette A Mazurek
- A Radiant Mind Professional Counseling Services, PLLC
- A1 Physical Therapy Inc
- Conway Aaron
- Aasha Human Connections LLC
- Muhammad Asjad Abbas
- Syed Muhammad Abbas
- Saadat Abbasi
All providers in Kalamazoo, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.