Shantel Diann Pausley, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

079344 Issued in IA

Practice address

1212 18TH St Ste B
Spirit Lake, IA 51360-1033

Phone

(712) 363-2358

NPI assigned

May 12, 2016

Sex

Female

Sole proprietor

Yes

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Reflective Living, PLLC

  • Mental Health Counselor
  • Spirit Lake, IA
  • NPI 1235916941

  Mental Health

  NPD Authorized official
• Southwestern Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Luverne, MN
  • NPI 1487654562
  NPD
• Cherish Center

  • Community/Behavioral Health Agency
  • Milford, IA
  • NPI 1659796431
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1124474879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600134",
            "telephone_number": "712-363-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 18TH ST STE B",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601033",
            "telephone_number": "712-363-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUSLEY",
        "first_name": "SHANTEL",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "079344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Joel Olson, M.D.
• On the Rock Counseling LLC
• P B R Inc
• P.B.R., Inc.
• Dale Gene Palmberg, DDS
• Jen Petersen, RPH
• Kayla Jo Plaehn, OTD, OTR/L
• Bradley Dean Poock, DC
• Charlotte Grace Powers, BSN, RN
• Hannah Marie Prather, RN

• All providers in Spirit Lake, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.