Individual provider Active NPI

Ann Marie Shay, MA, LPC

  • Professional Counselor
  • Grayling, MI
National Provider Identifier
1538409149
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013153 Issued in MI
Practice address
204 Meadows Dr
Grayling, MI 49738-2013
Phone
(989) 344-3009
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 6401013153 MI Primary

Addresses

Primary practice location

204 Meadows Dr
Grayling, MI 49738-2013

Mailing address

5969 Laird Lake Rd
Hale, MI 48739-9166
Phone (989) 728-2364

Other practice location 1

3840 M 65
Hale, MI 48739-9588
Phone (989) 728-2364

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013153MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Consultants, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538409149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 LAIRD LAKE RD",
            "city": "HALE",
            "state": "MI",
            "postal_code": "487399166",
            "telephone_number": "989-728-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "989-344-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 M 65",
            "address_purpose": "LOCATION",
            "city": "Hale",
            "state": "MI",
            "postal_code": "487399588",
            "country_code": "US",
            "telephone_number": "989-728-2364",
            "fax_number": "989-218-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.