Active NPI
Therapy Services With Shelley, PLLC
- Community/Behavioral Health Agency
- Moorhead, MN
National Provider Identifier
1659806495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1264
- Legal business name
- THERAPY SERVICES WITH SHELLEY, PLLC
- Practice address
- 820 4TH St S
Moorhead, MN 56560-3322 - Phone
- (218) 329-6294
- NPI assigned
- May 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Dahl Monroe, LMFT
- Title
- Owner/Therapist
- Phone
- (218) 329-6294
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2009-027 | ND | |
| Community/Behavioral Health Agency | 251S00000X | 1264 | MN | Primary |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
820 4TH St S
Moorhead, MN 56560-3322
Mailing address
820 4TH St S
Moorhead, MN 56560-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2419 12th Ave S
Ste 2C
Moorhead, MN 56560
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Moorhead, MN
- NPI 1164479242
-
- Psychologist
- Moorhead, MN
- NPI 1003265752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1659806495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 4TH ST S",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565603322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 4TH ST S",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565603322",
"telephone_number": "218-329-6294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY SERVICES WITH SHELLEY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-01",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "DAHL MONROE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "218-329-6294",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ND",
"license": "2009-027",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "1264",
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.