Active NPI
Shelbie Benjamin
- Professional Counselor
- Saint Marys, PA
National Provider Identifier
1164292447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015976
- Practice address
- 965 Cherry Hill Rd
Saint Marys, PA 15857-3065 - Phone
- (814) 594-4221
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015976 | PA | Primary |
Addresses
Primary practice location
965 Cherry Hill Rd
Saint Marys, PA 15857-3065
Mailing address
965 Cherry Hill Rd
Saint Marys, PA 15857-3065
Phone (814) 594-4221
Other names 1
- Shelbie Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015976 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1164292447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 CHERRY HILL RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573065",
"telephone_number": "814-594-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 CHERRY HILL RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573065",
"telephone_number": "814-594-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "SHELBIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBIE",
"last_name": "BAKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.