Jennifer Lynne Shelton, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2019048006 Issued in MO

Practice address

105 Silica Dr
Festus, MO 63028-4768

Phone

(573) 631-8100

NPI assigned

Mar 25, 2022

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 names 1

• Jennifer Lynne Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1831849512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SILICA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284768",
            "telephone_number": "573-631-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SILICA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284768",
            "telephone_number": "573-631-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2019048006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLIAMS",
            "middle_name": "LYNNE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Senajda Selimovic
• Kenneth Ryan Shackelford, DNP, APRN, FNP-BC
• Amit J Shah, M.D.
• Bailey Lane Shearrer, FNP-BC
• Shela L. Meyers
• Amanda M Sherwood, APRN, FNP, BC
• Sides Group Inc.
• Gary W Sides, D.O.
• Kevin J Sides, D.O.
• Craig S Siegel, MD

• Counselor in Festus, MO
• Providers in Festus, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.