Shelley Kruszewski, MA, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023017 Issued in MI

Practice address

45445 Mound Rd Ste 111
Shelby Township, MI 48317-5178

Phone

(586) 254-3633

NPI assigned

May 9, 2024

Last updated

May 9, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1265280689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45445 MOUND RD STE 111",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175178",
            "telephone_number": "586-254-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45445 MOUND RD STE 111",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175178",
            "telephone_number": "586-254-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "SHELLEY",
        "credential": "MA, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.