Beth Shelton, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

650 North Convent
Bourbonnais, IL 60914-1332

Phone

(815) 260-1453

Fax

(815) 602-8505

NPI assigned

Jun 13, 2012

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 IL

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

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Collective Balance Counseling, LLC

  • Mental Health Counselor
  • Bourbonnais, IL
  • NPI 1265998058
  NPD
• Khan Counseling

  dba Beth Shelton Khan LCSW

  • Mental Health Counselor
  • Bourbonnais, IL
  • NPI 1447923768
  NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1548522816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NORTH CONVENT",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141332",
            "telephone_number": "815-260-1453",
            "fax_number": "815-602-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTH CONVENT",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141332",
            "telephone_number": "815-260-1453",
            "fax_number": "815-602-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason L Serpe, DPM
• Ashish Rajesh Shah, M.D.
• Naimi Shah, DDS
• Kimberly B Shelanskey, FNP-BC
• Rachel Nicole Shell, MD
• Barbara Anne Shepherd
• Jason Shin, MD
• Halidu G Shokunbi, PT
• Akhil Chander Shori, MD
• Thomas Showers, LCPC

• Mental Health Counselor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.