SHELBY BLISS – Marriage & Family Therapist, NPI 1487197570

SHELBY BLISS is a healthcare provider. based in Rockledge, Florida. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. IMT2583 (FL). The NPI Number for SHELBY BLISS is 1487197570

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY BLISS
NPI
1487197570
Phone
(321) 631-8569
Address
190 McIver Ln
Enumeration Date
22 November 2016
Last Update Date
8 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213211490
Graduation Year
2014 (12 years ago)
PAC ID
9335675677
Group Practice PAC ID
9436698040
Professional Enrollment ID
I20250324003405
Address ID
FL329402048ME6769XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

324 MARRIAGE AND FAMILY THERAPIST in FL

Provider Addresses for SHELBY BLISS

  • 190 McIver Ln

    Rockledge, FL 329555412

    Phone: (321) 631-8569

    Type: Location

  • 106, North Sykes Creek Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    MERRITT ISLAND, FL 329533494

    Phone: (321) 323-9069

    Type: Mailing

  • 270, North Sykes Creek Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    MERRITT ISLAND, FL 329533492

    Phone: (321) 323-9069

    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: 2025-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250324003405IMarriage And Family TherapistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32955)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436698040View full group profile
NameSpecialtyState
Marriage And Family TherapistFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerMO

Reviews

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Frequently asked questions

What federal number belongs to SHELBY BLISS?
The federal identifier for SHELBY BLISS is NPI 1487197570.
Is SHELBY BLISS currently active in the NPI registry?
CMS-published data lists SHELBY BLISS as an active registrant.
What kind of provider is SHELBY BLISS?
The page reflects Marriage & Family Therapist for SHELBY BLISS. Clinical services aligned with this taxonomy classification.
What location shows for SHELBY BLISS?
We surface Rockledge, Florida for SHELBY BLISS based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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