SHELLEY S FOREMAN LPC
NPI 1073796413
Counselor - Mental Health in Gulfport, MS

Active since December 07, 2007
1600 BROAD AVE, GULFPORT, MS 39501(228) 863-1132 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelley S Foreman Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLEY S FOREMAN LPC (NPI 1073796413) is an individual mental health provider in Gulfport, Mississippi, licensed in Mississippi (1304) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1073796413
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELLEY S FOREMANCredential: LPC
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing Address1600 Broad AveGulfport, MS 39501-3603 · (228) 863-1132
Sole ProprietorNo
Enumeration DateDecember 7, 2007
NPI 1073796413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MS · 1304
1600 BROAD AVE, Gulfport, MS 39501

Other Identifiers 1

Medicaid00018213MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
1600 BROAD AVE
GULFPORT, MS 39501
Counselor
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Social Worker
1600 BROAD AVE
GULFPORT, MS 39501
Marriage & Family Therapist
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelley Foreman's NPI number?

The NPI number for Shelley Foreman is 1073796413. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Shelley Foreman located?

Shelley Foreman practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-1132.

What is Shelley Foreman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shelley Foreman was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.