Active NPI
Shellie Marie Selove, MS, LPC, LMFT, CST
- Professional Counselor
- Stephens City, VA
National Provider Identifier
1255458279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002160
- Practice address
- 1246 Salem Church Rd
Stephens City, VA 22655-5546 - Phone
- (540) 868-9000
- Fax
- (540) 868-9064
- NPI assigned
- Mar 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717000628 | VA | |
| Professional Counselor | 101YP2500X | 0701002160 | VA | Primary |
Addresses
Primary practice location
1246 Salem Church Rd
Stephens City, VA 22655-5546
Mailing address
1246 Salem Church Rd
Stephens City, VA 22655-5546
Phone (540) 868-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002160 | VA | MD | Professional Counselor |
| 0717000628 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1255458279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 SALEM CHURCH RD",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226555546",
"telephone_number": "540-868-9000",
"fax_number": "540-868-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1246 SALEM CHURCH RD",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226555546",
"telephone_number": "540-868-9000",
"fax_number": "540-868-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELOVE",
"first_name": "SHELLIE",
"middle_name": "MARIE",
"credential": "MS, LPC, LMFT, CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000628",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephens City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.