Shelly Mitchell

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2060 Issued in AL

Practice address

277 Village Pkwy
Helena, AL 35080-4028

Phone

(205) 624-3076

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Jay Pesek Counseling Services, LLCGroup PAC ID 4082053236, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jay Pesek Counseling Services, LLC

  • Counselor
  • Helena, AL
  • NPI 1245690437
  Medicare reassignment Care Compare group NPD
• Counseling Cottage

  • Mental Health Counselor
  • Hoover, AL
  • NPI 1467398222
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1538759345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 GREY OAKS DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242493",
            "telephone_number": "404-902-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 VILLAGE PKWY",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804028",
            "telephone_number": "205-624-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P McGhee, DPT
• Wendy Cox McNish, ALC
• Logan Mendheim
• Michelle Puckett OT LLC
• Laurita Mullins Miller, LICSW
• Mobileyes, LLC
• Kevin Lane Morris, D.M.D
• Jonathan Robert Morrow, PHARMD
• Anhdao Nguyen Le
• Toan Nguyen, PHARMD

• Counselor in Helena, AL
• Providers in Helena, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.