Douglas Shotsky, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1000391 Issued in OH

Practice address

1040 S Winter St Ste 1022
Adrian, MI 49221-3876

Phone

(517) 264-0142

Fax

(517) 263-7616

NPI assigned

Dec 31, 2012

Sex

Male

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

Enrolled in MI, OH2 enrollments

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 2

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MI, OH, Professional

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OH, Professional

  Medicare reassignment NPD
• R3 Counseling, LLC

  • Professional Counselor
  • Adrian, MI
  • NPI 1164215836
  NPD Authorized official
• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1962576983
  NPD
• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1912227570
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1770829376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST STE 1022",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-264-0142",
            "fax_number": "517-263-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST STE 1022",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-264-0142",
            "fax_number": "517-263-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTSKY",
        "first_name": "DOUGLAS",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-31",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1000391",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Paul Shemick, DC
• Shelley Mae Shepherd, DC
• Steven Anthony Sherman, M.D.
• Shirley Goodlock
• Timothy Ryan Short, NP-C
• Lesley Shulman, ATC
• Sherman Shultz, MD
• Tariq A. Siddiqi, MD
• Kevin Siemen
• Rick Sigler, ATC

• Professional Counselor in Adrian, MI
• Providers in Adrian, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.