Mary Jo Beverly Shepard
Counselor, Mental Health in Mt Pleasant, MI. Individual provider (NPI-1).
NPI number1609656289
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1609656289
- Entity type
- Individual (NPI-1)
- Name
- Mary Jo Beverly Shepard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6401011545 | MI | Yes |
Practice location
207 N Franklin StMt Pleasant, MI 48858-2303
Phone 989-824-2374
Mailing address
9013 Chippewa TrlEvart, MI 49631-9350
Phone 810-908-2006
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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