Individual provider Active NPI

Shelby Cronk, MS

  • Mental Health Counselor
  • Emmetsburg, IA
National Provider Identifier
1346848819
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
105335 Issued in IA
Practice address
918 Broadway St
Emmetsburg, IA 50536-2489
Phone
(712) 262-2922
NPI assigned
Oct 15, 2020
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 105335 IA Primary

Addresses

Primary practice location

918 Broadway St
Emmetsburg, IA 50536-2489

Mailing address

918 Broadway St
Emmetsburg, IA 50536-2489
Phone (712) 262-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421002912 IA Practitioner - Mental Health Counselor 9638694763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

918 Broadway St
Suite 1
Emmetsburg, IA 50536-2489
Phone (712) 262-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Mental Health Center CurrentSince Jan 25, 2025 Accepting new patients
Northwest Iowa Mental Health Center CurrentSince Jan 25, 2025 Accepting new patients

Locations

918 Broadway St
Ste 1
Emmetsburg, IA 50536

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

201 E 11th St
Spencer, IA 51301
Phone (712) 324-3263

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1346848819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BROADWAY ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362489",
            "telephone_number": "712-262-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BROADWAY ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362489",
            "telephone_number": "712-262-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONK",
        "first_name": "SHELBY",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "105335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

Verify at the official NPI Registry.