Malia Bethellen Shipe, LPC
Counselor, Professional in Decatur, AL. Individual provider (NPI-1).
NPI number1760634679
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1760634679
- Entity type
- Individual (NPI-1)
- Name
- Ms. Malia Bethellen Shipe
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2008
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2385 | AL | Yes |
Practice location
206 4th Ave SeDecatur, AL 35601-2531
Phone 256-341-0811
Mailing address
224 2nd Ave SeDecatur, AL 35601-2344
Phone 256-341-0811 · Fax 256-341-9358
Other practice locations
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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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