Individual provider Active NPI

Shelley Hughes

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1124899695
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704374981 Issued in MI
Practice address
725 Mason St
Flint, MI 48503-2421
Phone
(810) 496-5777
NPI assigned
Jan 12, 2024
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704374981 MI Primary

Addresses

Primary practice location

725 Mason St
Flint, MI 48503-2421

Mailing address

725 Mason St
Flint, MI 48503-2421
Phone (810) 496-5777

Other practice location 1

10801 S Saginaw St Ste D
Grand Blanc, MI 48439-8126
Phone (810) 771-4074

Other practice location 2

3305 Longview Dr
Flushing, MI 48433-2202
Phone (248) 408-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909000506 MI Practitioner - Nurse Practitioner 0446790273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creekside Counseling Group LLCGroup PAC ID 9133521255, 33 clinicians

Practice addresses (Care Compare)

10801 S Saginaw St
Suite D
Grand Blanc, MI 48439-8126
Phone (810) 771-4074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704374981MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Group LLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Effective Psych Care PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

5039 Villa Linde Pkwy
Ste 30
Flint, MI 48532
Phone (810) 213-8013

10683 S Saginaw St
Ste B
Grand Blanc, MI 48439
Phone (810) 223-3649

10801 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 771-4074

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1124899695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MASON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032421",
            "telephone_number": "810-496-5777",
            "fax_number": "810-496-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MASON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032421",
            "telephone_number": "810-496-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 S Saginaw St Ste D",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398126",
            "country_code": "US",
            "telephone_number": "810-771-4074",
            "fax_number": "810-662-0672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 Longview Dr",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484332202",
            "country_code": "US",
            "telephone_number": "248-408-8981",
            "fax_number": "810-337-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SHELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704374981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.