Kenedy M Shelton

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

412 Century LN
Holland, MI 49423-4285

Phone

(616) 396-2301

NPI assigned

Sep 4, 2020

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

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Arbor Circle Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Norton Shores, MI
  • NPI 1134614696
  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1093329203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494245968",
            "telephone_number": "616-337-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234285",
            "telephone_number": "616-396-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 W Norton Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494414175",
            "country_code": "US",
            "telephone_number": "231-777-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Washington Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494237702",
            "country_code": "US",
            "telephone_number": "616-610-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KENEDY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Connell, PH.D., LLC
• Charkeia Shannon
• Nicholai Christian Shaw
• India Shear
• Bailey Danielle Shelters, AT, ATC
• Hao Shen, D.O.
• Kristen Leighanne Shepherd, LCSW
• Bryan Wesley Shields, DDS
• Caitlin Elisabeth Shoemaker
• Hannah Jane Shook, PA

• Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.