Shelby Elizabeth Lies, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2470 Issued in MN

Practice address

1726 7TH Ave S
Saint Cloud, MN 56301-5711

Phone

(320) 229-6061

Fax

(320) 229-6041

NPI assigned

May 5, 2020

Last updated

May 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellison Center

  • Marriage & Family Therapist
  • Saint Cloud, MN
  • NPI 1740744242
  Medicare reassignment NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1922629575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 OAK RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030309",
            "telephone_number": "320-310-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 7TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015711",
            "telephone_number": "320-229-6061",
            "fax_number": "320-229-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIES",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lezer, PHARM.D.
• Michael G Libby Jr.
• Libin Health LLC
• Libin Residence LLC
• Karla Lien, LPN
• Thomas Matthias Lies
• Amber Lynn Lieser, CNP
• Lifeline Learning Center LLC
• Lifelink Transit Group LLC
• Lifelink Transportation LLC

• Mental Health Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.