Shelby A Angel, MED, LPC

Individual provider Active NPI Professional Counselor · Boonville, MO

NPI 1548028152 · NPPES record last updated Feb 27, 2026

Key facts

NPI
1548028152
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2026009035 (MO)
Practice address
520 Ryan St Ste W
Boonville, MO 65233-1894
Phone
(660) 882-7573
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burrell Inc (217 clinicians)

Practice addresses (Care Compare)

520 Ryan St
Suite W
Boonville, MO 65233-1894
Phone (660) 882-7573

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260331000178 MO Practitioner - Mental Health Counselor 9234614074 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2026009035MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2026009035 MO Yes

Addresses

Primary practice location

520 Ryan St Ste W
Boonville, MO 65233-1894

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Other names

  • Shelby Wessing Former name

Other providers in Boonville, MO

All providers in Boonville, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.