Individual provider Active NPI

Julianna R Shaltry, MA, LPC, CAADC, NCC

  • Professional Counselor
  • Grand Ledge, MI
National Provider Identifier
1659623312
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013241 Issued in MI
Practice address
311 Harrison St
Grand Ledge, MI 48837-1577
Phone
(517) 338-3090
Fax
(517) 338-3090
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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 6401013241 MI Primary

Addresses

Primary practice location

311 Harrison St
Grand Ledge, MI 48837-1577

Mailing address

311 Harrison St
Grand Ledge, MI 48837-1577
Phone (517) 338-3090

Other practice location 1

100 W Saginaw Hwy Ste B
Grand Ledge, MI 48837-1800
Phone (517) 338-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240112002241 MI Practitioner - Mental Health Counselor 7214310721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling Services of Greater Lansing LLCGroup PAC ID 5597148007, 11 clinicians

Practice addresses (Care Compare)

311 Harrison St
Grand Ledge, MI 48837-1577
Phone (517) 338-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013241MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Services of Greater Lansing LLC Professional CurrentSince Apr 13, 2014 Accepting new patients

Locations

311 Harrison St
Grand Ledge, MI 48837
Phone (517) 338-3090

100 W Saginaw Hwy
Ste B
Grand Ledge, MI 48837
Phone (517) 338-3090

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": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1659623312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HARRISON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371577",
            "telephone_number": "517-338-3090",
            "fax_number": "517-338-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HARRISON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371577",
            "telephone_number": "517-338-3090",
            "fax_number": "517-338-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Saginaw Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488371800",
            "country_code": "US",
            "telephone_number": "517-338-3090",
            "fax_number": "517-338-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALTRY",
        "first_name": "JULIANNA",
        "middle_name": "R",
        "credential": "MA, LPC, CAADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

Verify at the official NPI Registry.