Shelby Bristow, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04909 Issued in AL

Practice address

5901 Airport Blvd Ste 100
Mobile, AL 36608-3169

Phone

(251) 873-0002

NPI assigned

Jun 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Woven Wellness LLC

  • Professional Counselor
  • Mobile, AL
  • NPI 1275368722
  NPD Authorized official

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1609550706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 AIRPORT BLVD # 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083169",
            "telephone_number": "251-202-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 AIRPORT BLVD STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083169",
            "telephone_number": "251-873-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365268624",
            "country_code": "US",
            "telephone_number": "251-202-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "SHELBY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04909",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "AL",
            "license": "LPC04909",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "438283",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Clinton Bright, DO
• Gary Brightbill
• Brighter Days Counseling Services, LLC
• Thomas Witter Brim, DO
• Ryan Sean Briones, MD
• Amy Lynn Britton, CRNP
• Broad Street Health Inc
• Courtney Kuehn Broadfoot, CCC-SLP
• William Eric Broadfoot, MD
• Justin Broadhead, DO

• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.