Individual provider Active NPI

Shelley Krolewski, LLPC

  • Counselor
  • Warren, MI
National Provider Identifier
1962896522
Registry record updated Mar 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012592 Issued in MI
Practice address
30101 Hoover Rd Ste 1
Warren, MI 48093-6572
Phone
(586) 588-6868
NPI assigned
Mar 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012592 MI Primary

Addresses

Primary practice location

30101 Hoover Rd Ste 1
Warren, MI 48093-6572

Mailing address

30101 Hoover Rd Ste 1
Warren, MI 48093-6572
Phone (586) 558-6868

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
6401012592MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426982400000",
    "number": "1962896522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 HOOVER RD STE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936572",
            "telephone_number": "586-558-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 HOOVER RD STE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936572",
            "telephone_number": "586-588-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLEWSKI",
        "first_name": "SHELLEY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.