Active NPI
Shelly Watson, LLPC
- Professional Counselor
- Westland, MI
National Provider Identifier
1275951881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6410101875
- Practice address
- 8623 N Wayne Rd
Suite123
Westland, MI 48185-1137 - Phone
- (734) 367-0469
- Fax
- (734) 367-0791
- NPI assigned
- Apr 1, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6410101875 | MI | Primary |
Addresses
Primary practice location
8623 N Wayne Rd
Suite123
Westland, MI 48185-1137
Mailing address
25617 Valley Creek Dr
Apt 102
Flat Rock, MI 48134-4006
Phone (313) 316-0882
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6410101875 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1275951881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25617 VALLEY CREEK DR",
"address_2": "APT 102",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481344006",
"telephone_number": "313-316-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8623 N WAYNE RD",
"address_2": "SUITE123",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481851137",
"telephone_number": "734-367-0469",
"fax_number": "734-367-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHELLY",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6410101875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.