Shelby Counseling, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008401 Issued in MI

Legal business name

SHELBY COUNSELING, INC.

Practice address

52188 Van Dyke Ave
Suite 320
Shelby Township, MI 48316-3567

Phone

(586) 323-0176

Fax

(586) 737-7950

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Irwin, PSY. D.NPI 1740371442

Title

Owner/Psychologist

Phone

(586) 323-0176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Michelle Irwin, PSY. D

  • Clinical Psychologist
  • Shelby Township, MI
  • NPI 1740371442
  Medicare reassignment NPD Authorized official
• Amanda Cookson, LMSW

  • Clinical Social Worker
  • Auburn Hills, MI
  • NPI 1902201734
  NPD (past)
• Tina Marie Persha, MA LPC CACII

  • Counselor
  • Shelby TWP, MI
  • NPI 1225128499
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1144647892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE",
            "address_2": "SUITE 320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163567",
            "telephone_number": "586-323-0176",
            "fax_number": "586-737-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE",
            "address_2": "SUITE 320",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163567",
            "telephone_number": "586-323-0176",
            "fax_number": "586-737-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "586-323-0176",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Gerald Sharp, M.S., L.L.P.
• Erin Shaughnessy, LMSW
• Allison Shaune
• Shelby Comfort Care LLC
• Shelby Comfort Dentistry
• Shelby Creek Pharmacy LLC (Shelby Creek Pharmacy)
• Shelby Dental Care
• Shelby Eyecare Associates PC
• Shelby Family Cosmetic & Restorative Dentistry
• Shelby Foot & Ankle, PLLC

• Clinical Psychologist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.