Shelley M Fentress, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

KY-0412 Issued in KY

Practice address

107 Cranes Roost CT
Elizabethtown, KY 42701-3650

Phone

(270) 765-2605

Fax

(270) 234-8572

NPI assigned

Jan 29, 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 2

Other names 1

• Shelley M Greenwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1508902628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 250",
            "city": "UNION STAR",
            "state": "KY",
            "postal_code": "401719716",
            "telephone_number": "270-496-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-234-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTRESS",
        "first_name": "SHELLEY",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-0412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000530500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "GREENWELL",
            "middle_name": "M",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Faust, PMHNP
• Kalie Felker, MA
• Tiffany Ann Felker
• Klayton Felty
• Jordan Brooke Fentress, CRNA
• Connie Elaine Ferguson
• Shayne Kirk Ferguson, PT
• Lisa-Anne Ferris
• Dalton Lee Festervan, DPT
• German S Fikhman, M.D.

• Mental Health Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.