Shelby Lyn-Marie Remillard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008787-1 Issued in NY

Practice address

49 W 24TH St Ste 1004
New York, NY 10010-3543

Phone

(347) 752-1157

NPI assigned

May 19, 2014

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 12, 2025 through Mar 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kathryn Grooms, LCSW PC

  • Clinical Social Worker
  • New York, NY
  • NPI 1669021648
  NPD

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1255742755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103543",
            "telephone_number": "347-752-1157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 West Moreno Avenue",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80905",
            "country_code": "US",
            "telephone_number": "719-572-6100",
            "fax_number": "719-572-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "SHELBY",
        "middle_name": "LYN-MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008787-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Howard Remien, PH.D.
• Helselenne Remigio Batista
• Benilda Ramirez Remigio, PT
• Darleni Remigio, RN
• Felix Arnaldo Remigio, LMT
• Dominique Moselle Reminick, MA
• Krista Lynn Remis, PA-C
• Mary E Remito, LCSW
• Taylor Remme
• Anne H. Remmes, M.D.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.

Verify at the official NPI Registry.