Shelby Koerner, LMHC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008160-1 Issued in NY

Practice address

3315 Dandelion TRL
Canandaigua, NY 14424-9129

Phone

(585) 402-6662

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1659836229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 DANDELION TRL",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249129",
            "telephone_number": "585-402-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 DANDELION TRL",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249129",
            "telephone_number": "585-402-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "SHELBY",
        "credential": "LMHC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2807",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008160-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Knapp, MD
• Dawn Kneut, LPN
• Wonkyung Kniffen
• Kristin L. Koberstein, LMFT
• Gary G Kochersberger, M.D.
• Jennifer Ann Kondolf-Duba, OTR/L
• Leanne S Kontur
• Matthew Ryan Koss
• Mel M Kost, PHARMACIST
• Joseph Brian Kostecki, MT-BC

• Mental Health Counselor in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.