Shelley E. Varella, MA, CAC-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

415 Brainard St
#102
Detroit, MI 48201-1794

Phone

(313) 831-4820

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427266477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LEDYARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012641",
            "telephone_number": "313-962-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BRAINARD ST",
            "address_2": "#102",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011794",
            "telephone_number": "313-831-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELLA",
        "first_name": "SHELLEY",
        "middle_name": "E.",
        "credential": "MA, CAC-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE",
            "identifier": "820152",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Ann Vantine, ANP
• Savannah Jane Vanwager, DO
• David Robeson Vanzant, ATC
• Aaron Lewis Vardiman, LLMSW
• Panayiotis N. Varelas, M.D.
• Vipin Varghese, MD
• Adrian Vargo
• Jastin Varkey, M.D.
• Adarsh K Varma, M.D.
• Deyounka Monique Varmall, RN

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.