Active NPI
Shelby Elizabeth Klein
- Addiction (Substance Use Disorder) Counselor
- Rochester, MN
National Provider Identifier
1427615764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 305446
- Practice address
- 401 16TH St SE Ste 300
Rochester, MN 55904-7973 - Phone
- (507) 516-0030
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305446 | MN | Primary |
Addresses
Primary practice location
401 16TH St SE Ste 300
Rochester, MN 55904-7973
Mailing address
4494 Stoneview PL SE Apt 271
Rochester, MN 55904-4311
Phone (507) 401-1994
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 |
|---|---|---|---|
| 305446 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1427615764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 STONEVIEW PL SE APT 271",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044311",
"telephone_number": "507-401-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 16TH ST SE STE 300",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559047973",
"telephone_number": "507-516-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "SHELBY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.