Organization Active NPI

R3 Counseling, LLC

  • Professional Counselor
  • Adrian, MI
National Provider Identifier
1164215836
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
R3 COUNSELING, LLC
Practice address
1002 W Maple Ave
Adrian, MI 49221-1311
Phone
(740) 604-0476
NPI assigned
May 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Mr. Douglas Shotsky, LPC, LPCCNPI 1770829376
Title
Owner/Therapist
Phone
(740) 604-0476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1002 W Maple Ave
Adrian, MI 49221-1311

Mailing address

2652 Spielman Rd
Adrian, MI 49221-9224
Phone (740) 604-0476

National Provider Directory

National Provider Directory

Locations

1002 W Maple Ave
Adrian, MI 49221
Phone (740) 604-0476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1164215836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 SPIELMAN RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219224",
            "telephone_number": "740-604-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MAPLE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211311",
            "telephone_number": "740-604-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3 COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SHOTSKY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "740-604-0476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.