Mountain Vista Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOUNTAIN VISTA COUNSELING

Practice address

2661 S. Lapeer Rd.
Suite 206
Lake Orion, MI 48360

Phone

(248) 391-2606

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Doris Shackelford, LPCNPI 1114167590

Title

Owner/Therapist

Phone

(248) 391-2606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen D. Shackelford, MA, LLPC, NCC

  • Professional Counselor
  • Orion, MI
  • NPI 1114167590
  NPD (past) Authorized official

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1780254433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 S. LAPEER RD.",
            "address_2": "SUITE 206",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-391-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 S. LAPEER RD.",
            "address_2": "SUITE 206",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-391-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-391-2606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Miskowski
• Mia Marie Moede
• Nicole Rene Monette, DPT
• Rachael Ann Moore, PA-C
• Jannelle Morad, DMD
• Haneet Multani, NP
• Jason Ronald Naborczyk, DC
• Kevin R Naborczyk, D.C.
• Alyssa Nance
• Narayan Social Services PLLC

• Professional Counselor in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.