Shelly Wiggins, MA. LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401008453 Issued in MI

Practice address

654 E Main St
Owosso, MI 48867-3222

Phone

(517) 749-2235

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelly Bialo Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Driftwood Counseling Services LLC

  • Counselor
  • Owosso, MI
  • NPI 1194996496
  Medicare reassignment NPD
• Mid-Michigan Behavioral Health, PC

  • Psychiatry Physician
  • Owosso, MI
  • NPI 1083823835

  Counselor

  Medicare reassignment NPD
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1821293010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673222",
            "telephone_number": "517-749-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W King St Ste G",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488672100",
            "country_code": "US",
            "telephone_number": "989-725-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "SHELLY",
        "name_prefix": "Mrs.",
        "credential": "MA. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEA",
            "identifier": "7201796",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "BIALO",
            "credential": "MA LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayley Whiteherse
• Abbygail Whitt, LLMSW
• Alexis Wicke, MA, BCBA
• Ashley Wickham
• Paul Robert Wiese, PH.D.
• Charles Wilkerson Jr.
• Chelsea Louise Wilkins, LMSW
• Kristen Williams
• Meaghan Williams
• Tetyana Williams, MSN, APRN, FNP-BC

• Counselor in Owosso, MI
• Providers in Owosso, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.