JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) – Professional Counselor, NPI 1659623312

JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) is a healthcare provider. based in Grand ledge, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC, CAADC, NCC. They hold a License No. 6401013241 (MI). The NPI Number for JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) is 1659623312

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JULIANNA R SHALTRY (MA, LPC, CAADC, NCC)
NPI
1659623312
Phone
(517) 338-3090
Address
100 W SAGINAW HWY STE B
Enumeration Date
4 October 2012
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173383090
Graduation Year
2012 (14 years ago)
PAC ID
7214310721
Group Practice PAC ID
5597148007
Professional Enrollment ID
I20240112002241
Address ID
MI488371577GR311XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for JULIANNA R SHALTRY (MA, LPC, CAADC, NCC)

  • 100 W SAGINAW HWY STE B

    GRAND LEDGE, MI 488371800

    Phone: (517) 338-3090

    Fax: (517) 338-3090

    Type: Location

  • 100 W Saginaw Hwy Ste B

    Grand Ledge, MI 488371800

    Phone: (517) 338-3090

    Fax: (517) 338-3090

    Type: Location

  • 311 HARRISON ST

    GRAND LEDGE, MI 488371577

    Phone: (517) 338-3090

    Fax: (517) 338-3090

    Type: Mailing

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: 2024-01-12

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
I20240112002241IMental Health CounselorMITBD

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 48837)

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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: 5597148007View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to JULIANNA R SHALTRY (MA, LPC, CAADC, NCC)?
NPI 1659623312 is assigned to JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) under the national enumeration system.
Is JULIANNA R SHALTRY (MA, LPC, CAADC, NCC)'s NPI currently valid?
The extract we use shows JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) as active.
Does JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) list a primary specialty?
If you are matching referrals, note Professional Counselor for JULIANNA R SHALTRY (MA, LPC, CAADC, NCC). Clinical services aligned with this taxonomy classification.
Does JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) practice in Michigan?
You will see Grand Ledge, Michigan on file for JULIANNA R SHALTRY (MA, LPC, CAADC, NCC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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