Shawn Ann Corlew-Vanheyningen, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401006807 Issued in MI

Practice address

209 E Washington Ave Ste 330
Jackson, MI 49201-2398

Phone

(517) 812-7183

NPI assigned

May 11, 2013

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1093151599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 CHIPPEWA TRL",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023840",
            "telephone_number": "517-812-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE STE 330",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012398",
            "telephone_number": "517-812-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3004 Chippewa Trl",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492023840",
            "country_code": "US",
            "telephone_number": "517-812-7183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORLEW-VANHEYNINGEN",
        "first_name": "SHAWN",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-11",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401006807",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Corbin, LMSW
• Heather N Corcoran, CRNA
• Taylor Cordes
• Michael David Corey, H.I.T
• Carrie Corlew-Thayer, LPC, CADC-M, QMHP
• Andrea Corley
• Christopher Coronel
• Alexandra Elizabeth Corrado-Kittel, DO
• Jennifer M Cortright, PTA
• Angela Kim Corts, LMSW

• Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.