Malia Bethellen Shipe, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2385 Issued in AL

Practice address

206 4TH Ave SE
Decatur, AL 35601-2531

Phone

(256) 341-0811

NPI assigned

Oct 22, 2008

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

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eagle Consulting, LLCGroup PAC ID 6608108824, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Eagle Consulting, LLC

  • Professional Counselor
  • Decatur, AL
  • NPI 1881963221

  AL, Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1760634679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 2ND AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012344",
            "telephone_number": "256-341-0811",
            "fax_number": "256-341-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012531",
            "telephone_number": "256-341-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Providence Main St NW",
            "address_2": "401",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358064815",
            "country_code": "US",
            "telephone_number": "256-716-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "MALIA",
        "middle_name": "BETHELLEN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loyd E. Shaw, M.D.
• Seketa T Shaw, BS
• Grace D Shelby, MS, LMFT
• Amber Shelton, RN
• Ahmad Shikhtholth, M.D.
• Jessica Lin Short, CRNP
• Dyrc F Sibrans, MD
• Brittney Nicole Sides, RN, CRNP
• Hilary Lanora Sides
• Maegan Siller

• All providers in Decatur, AL
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.