Organization Active NPI

Shelly Symons, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermantown, MN
National Provider Identifier
1306337431
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1017668300021 Issued in MN
Legal business name
SHELLY SYMONS, LLC
Practice address
4335 Hawk Circle Dr
Hermantown, MN 55811-3648
Phone
(218) 461-8108
Fax
(888) 830-6866
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Symons, MSW, LICSWNPI 1912372087
Title
Psychotherapist
Phone
(218) 343-7548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1017668300021 MN Primary

Addresses

Primary practice location

4335 Hawk Circle Dr
Hermantown, MN 55811-3648

Mailing address

1319 N 56TH Ave W
Duluth, MN 55807-1338
Phone (218) 461-8108

Other practice location 1

5365 W Arrowhead Rd
Hermantown, MN 55811-1341
Phone (218) 481-8108

National Provider Directory

National Provider Directory

Locations

312 N Central Ave
Ste 500
Duluth, MN 55807

5365 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 461-8108

4335 Hawk Circle Dr
Hermantown, MN 55811
Phone (218) 355-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1306337431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N 56TH AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071338",
            "telephone_number": "218-461-8108",
            "fax_number": "888-830-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 HAWK CIRCLE DR",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113648",
            "telephone_number": "218-461-8108",
            "fax_number": "888-830-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5365 W Arrowhead Rd",
            "address_purpose": "LOCATION",
            "city": "Hermantown",
            "state": "MN",
            "postal_code": "558111341",
            "country_code": "US",
            "telephone_number": "218-481-8108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHELLY SYMONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "SYMONS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "218-343-7548",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "1017668300021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.