MRS. SHELLEY SUE STISSER (LPC) – Mental Health Counselor, NPI 1003061946
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
856 MENTAL HEALTH COUNSELOR in AZ
Provider Addresses for MRS. SHELLEY SUE STISSER (LPC)
13460 N 94th Dr Ste K3
Peoria, AZ 853814249
Phone: (623) 974-3333
Fax: (623) 974-3390
Type: Location
9342, South 182nd Lane, Estrella Mountain Ranch, Goodyear, Maricopa County, Arizona, 85338, United States
GOODYEAR, AZ 853385254
Phone: (623) 810-7266
Fax: (623) 321-1378
Type: Mailing
Spain Road Northeast, Peppertree/Royal Oak, Albuquerque, Bernalillo County, New Mexico, 87111, United States
ALBUQUERQUE, NM 871093155
Phone: (505) 856-0300
Fax: (505) 856-7946
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240425000019 | I | Mental Health Counselor | TX | TBD |
| I20251103002257 | I | Mental Health Counselor | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85381)
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