Individual provider Active NPI

Shelly Maledy-Martin, PLPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1902610678
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025001454 Issued in MO
Practice address
1335 E Republic Rd Ste H
Springfield, MO 65804-7220
Phone
(417) 719-1440
Fax
(417) 216-6769
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025001454 MO Primary

Addresses

Primary practice location

1335 E Republic Rd Ste H
Springfield, MO 65804-7220

Mailing address

1759 E Elm St
Springfield, MO 65802-3227
Phone (417) 719-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2025001454MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Counseling Services Professional CurrentSince Feb 9, 2025 Accepting new patients

Locations

1335 E Republic Rd
Ste H
Springfield, MO 65804
Phone (417) 719-1440

1759 E Elm St
Springfield, MO 65802
Phone (417) 719-1440

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1902610678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 E ELM ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023227",
            "telephone_number": "417-719-1440",
            "fax_number": "417-216-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E REPUBLIC RD STE H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047220",
            "telephone_number": "417-719-1440",
            "fax_number": "417-216-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEDY-MARTIN",
        "first_name": "SHELLY",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025001454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.