Individual provider Active NPI

Simone Elloie Shelton, ED. D

  • Mental Health Counselor
  • Prairieville, LA
National Provider Identifier
1760906267
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7616 Issued in LA
Practice address
18291 Manchac Place Dr
Prairieville, LA 70769-3355
Phone
(225) 252-3655
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7616 LA
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 7616 LA
Case Manager/Care Coordinator 171M00000X LA
Developmentally Disabled Services Day Training Agency 251C00000X 7616 LA
School Counselor 101YS0200X 7616 LA
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X 7616 LA
Developmental Disabilities Clinic/Center 261QD1600X 7616 LA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7616 LA
Mental Health Counselor 101YM0800X 7616 LA Primary

Addresses

Primary practice location

18291 Manchac Place Dr
Prairieville, LA 70769-3355

Mailing address

18291 Manchac Place Dr
Prairieville, LA 70769-3355
Phone (225) 252-3655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7616LAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Behavior & Counseling Solutions, Inc. Mental Health CurrentSince Oct 6, 2024 Accepting new patients
Proactive Behavior & Solutions CurrentSince Dec 24, 2023 Accepting new patients
La Excel Care Inc Community/Behavioral Health Past Accepting new patients

Organizations & group practices 3

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1760906267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18291 MANCHAC PLACE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693355",
            "telephone_number": "225-252-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18291 MANCHAC PLACE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693355",
            "telephone_number": "225-252-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SIMONE",
        "middle_name": "ELLOIE",
        "name_prefix": "Dr.",
        "credential": "ED. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "7616",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.