Active NPI
Shelby Smith, MA, LPC
- Counselor
- Gaylord, MI
National Provider Identifier
1245776335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 650 E 5TH St
Gaylord, MI 49735-1268 - Phone
- (989) 705-3080
- NPI assigned
- Jan 12, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
650 E 5TH St
Gaylord, MI 49735-1268
Mailing address
805 Ogemaw St
Grayling, MI 49738-1421
Phone (616) 295-3770
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Therapeutic Consultants PC | Past | Accepting new patients | |
| BHG Lxxxiii, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
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- NPI 1922712009
-
- Methadone Clinic
- Mount Pleasant, MI
- NPI 1598932253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1245776335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 OGEMAW ST",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381421",
"telephone_number": "616-295-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E 5TH ST",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351268",
"telephone_number": "989-705-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHELBY",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.