Tamara Ghesquiere Shivers, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401224359 Issued in MI

Practice address

240 S Parker St
Marine City, MI 48039-3592

Phone

(810) 300-6899

NPI assigned

Nov 16, 2021

Last updated

May 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pegasus Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marine City, MI
  • NPI 1578206363
  NPD Authorized official

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1710643531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 POINTE DR",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480543511",
            "telephone_number": "810-650-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393592",
            "telephone_number": "810-300-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "TAMARA",
        "middle_name": "GHESQUIERE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kay Reichle
• Remer Pharmacy Inc (Foster Drug Inc)
• David Joseph Rizzi, RPH
• Barbara Rudowski, RPH
• David Scheel, MA, LPC, LMSW
• SL Counseling, LLP (Ease of Mind Counseling)
• St Clair County Community Mental Health Authority
• St Clair County Community Mental Health Authority
• St Clair County Community Mental Health Authority (St Clair County Community Mental Health SUD Services - Broadway)
• St Clair County Community Mental Health Sud Services - Marine City

• Professional Counselor in Marine City, MI
• Providers in Marine City, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.