Individual provider Active NPI

Shelah J Schenkel, M.A, LPC, NCC, DCEP

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1982716510
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005038996 Issued in MO
Practice address
4650 S National Ave
Suite D-8
Springfield, MO 65810-2937
Phone
(417) 886-2944
Fax
(888) 843-0629
NPI assigned
Aug 31, 2006
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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 2005038996 MO Primary

Addresses

Primary practice location

4650 S National Ave
Suite D-8
Springfield, MO 65810-2937

Mailing address

4650 S National Ave
Suite D-8
Springfield, MO 65810-2937
Phone (417) 886-2944

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2005038996MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Life Coaches LLC Professional Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1982716510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE",
            "address_2": "SUITE D-8",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102937",
            "telephone_number": "417-886-2944",
            "fax_number": "888-843-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE",
            "address_2": "SUITE D-8",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102937",
            "telephone_number": "417-886-2944",
            "fax_number": "888-843-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKEL",
        "first_name": "SHELAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.A, LPC, NCC, DCEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005038996",
            "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 Sep 22, 2011; 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.