Shelby Counseling Associates, PSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHELBY COUNSELING ASSOCIATES, PSC

Practice address

12701 Townepark Way
Barkley BLDG Ste 200
Louisville, KY 40243-2387

Phone

(502) 254-8880

Fax

(502) 254-8870

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nichole Jeanine Broyles

Title

Office Manager

Phone

(502) 254-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shelby Counseling Associates, PSC

  • Professional Counselor
  • Shelbyville, KY
  • NPI 1568659498

  O20040816000457

  Same enrollment

Tax ID family

Shelby Counseling Associates PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shelby Counseling Associates, PSC

  • Professional Counselor
  • Shelbyville, KY
  • NPI 1568659498
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Diane Duke, MBA, MS, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1114246261
  NPD
• Pamela Burns Andrews, ED.D.

  • Counseling Psychologist
  • Shelbyville, KY
  • NPI 1275643637
  NPD (past)
• Michelle Lynn Keller, LCSW

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1194351809

  Single Specialty

  NPD (past)
• Pamela Jean Luce-Marine, LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1245489319

  Professional

  NPD (past)
• Bradley Dale Marine, LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1528449170

  Professional

  NPD (past)
• Tami Sue Sallade, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1922089309
  NPD (past)
• Brenda S Shell, MA, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1609942887
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1992991855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 TOWNEPARK WAY",
            "address_2": "BARKLEY BLDG STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432387",
            "telephone_number": "502-254-8880",
            "fax_number": "502-254-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 TOWNEPARK WAY",
            "address_2": "BARKLEY BLDG STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432387",
            "telephone_number": "502-254-8880",
            "fax_number": "502-254-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNSELING ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-254-8880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000332447",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Eleanor Sheets-Mobley, LCSW, LMFT
• Zachary Sheets, PTA
• Sheila M Guelda MD PLLC
• Oleg Shekhtman, MD
• Christopher T Shelburne, PA
• Shelby Street Chiropractic & Injury Rehab PSC
• Mark A Shelby, RPH
• Salima Shelby
• Gregory I Sheldon, PA
• Julie Sheldon, OT

• All providers in Louisville, KY
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.