Shelly Ann Wiewiora, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009289 Issued in MI

Practice address

1633 Peck St
Muskegon, MI 49441-2530

Phone

(231) 722-7770

Fax

(231) 722-7677

NPI assigned

Oct 15, 2008

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

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Shelly Wiewiora LLC

  • Mental Health Counselor
  • Norton Shores, MI
  • NPI 1740068048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1225280779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412530",
            "telephone_number": "231-722-7770",
            "fax_number": "231-722-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412530",
            "telephone_number": "231-722-7770",
            "fax_number": "231-722-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEWIORA",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Wierenga, RN
• Lenore Wieschowski
• Josse Wieten
• Kaylee Wieten, LLMSW
• Maryann Wiewiora, OTR
• Mariyah Destany Wilcox, BSW
• Richard A Wilcox, M.D.
• Robin Joan Wilcox
• Steve Wilcox, MA-CAAC
• Julie Kay Wilde

• Professional Counselor in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.