Active NPI
Shawn David Shaltry, LPC
- Professional Counselor
- Grand Ledge, MI
National Provider Identifier
1952818882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401016190
- Practice address
- 311 Harrison St
Grand Ledge, MI 48837-1577 - Phone
- (517) 338-3090
- NPI assigned
- Dec 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 6401016190 | MI | Primary |
Addresses
Primary practice location
311 Harrison St
Grand Ledge, MI 48837-1577
Mailing address
311 Harrison St
Grand Ledge, MI 48837-1577
Phone (517) 338-3090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016190 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1952818882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 HARRISON ST",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488371577",
"telephone_number": "517-338-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 HARRISON ST",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488371577",
"telephone_number": "517-338-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALTRY",
"first_name": "SHAWN",
"middle_name": "DAVID",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-31",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401016190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.