Shelby Vanscoyoc, LLPC
Individual provider Active NPI Professional Counselor · Ithaca, MI
NPI 1407722010 · NPPES record last updated Oct 13, 2025
Key facts
- NPI
- 1407722010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6451024524 (MI)
- Practice address
- 1131 E Center St
Ithaca, MI 48847-1603 - Phone
- (989) 875-5101
- NPI assigned
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024524 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gratiot Isabella Resd | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451024524 | MI | Yes |
Addresses
Primary practice location
1131 E Center St
Ithaca, MI 48847-1603
Mailing address
8796 15 Mile Rd
Evart, MI 49631-8380
Phone (231) 388-3603
Other providers in Ithaca, MI
- Michelle L Spitzley
- Matthew A Stack
- Michael Andrew Stack
- James Randolph Tilton Jr.
- Trauma and Addiction Solutions PLLC
- Carol A Waters
- William McCarthy, Inc.
- Hallie J Wilson
- Paul E Worley Jr.
- Teressa Annette Yordy
All providers in Ithaca, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.