Individual provider Active NPI

Shelby Neathammer, LPC

  • Professional Counselor
  • Lansing, MI
National Provider Identifier
1508665456
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224840 Issued in MI
Practice address
2510 Kerry St Ste 200
Lansing, MI 48912-3671
Phone
(517) 273-2706
Fax
(517) 798-5677
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401224840 MI Primary

Addresses

Primary practice location

2510 Kerry St Ste 200
Lansing, MI 48912-3671

Mailing address

2510 Kerry St Ste 200
Lansing, MI 48912-3671
Phone (517) 273-2706

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

LicenseStateTypeSpecialty
6401224840MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1508665456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 KERRY ST STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123671",
            "telephone_number": "517-273-2706",
            "fax_number": "517-798-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 KERRY ST STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123671",
            "telephone_number": "517-273-2706",
            "fax_number": "517-798-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEATHAMMER",
        "first_name": "SHELBY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.