Sue A Shafe, LPC, LLP, CAC-R

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401000012 Issued in MI

Practice address

36 W Manchester St
Battle Creek, MI 49037-3016

Phone

(800) 969-6162

Fax

(269) 660-3899

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1891946653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W MANCHESTER ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373016",
            "telephone_number": "800-969-6162",
            "fax_number": "269-660-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W MANCHESTER ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373016",
            "telephone_number": "800-969-6162",
            "fax_number": "269-660-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFE",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "LPC, LLP, CAC-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "200344",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000012",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301007823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna L Service, MD
• Nicholas Lee Service, LMSW
• Shakir Settles
• Julie Ann Sewell, M.A., CCC-A
• Daniel Shadduck
• Deborah Kay Shafer, OTR
• Hemant Shah, M.D.
• Ketan Shah, M.D.
• Nishant Shah
• Sarah Sharai

• Professional Counselor in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.