MRS. SHELBY MARIE PELLETIER LCPC-C
NPI 1154684843
Counselor - Professional in Waterville, ME

Active since June 19, 2012PECOS Enrolled
180 MAIN ST, WATERVILLE, ME 04901(207) 872-5300 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Shelby Marie Pelletier Lcpc-c NPPES

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

MRS. SHELBY MARIE PELLETIER LCPC-C (NPI 1154684843) is an individual professional provider in Waterville, Maine, licensed in Maine (XL3707) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154684843
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHELBY MARIE PELLETIERCredential: LCPC-C
Location Address180 MAIN STWaterville, ME 04901
Mailing Address180 Main StWaterville, ME 04901-6666 · (207) 872-5300
Sole ProprietorNo
Enumeration DateJune 19, 2012
Last NPPES UpdateSeptember 27, 2013
✔ NPI 1154684843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · XL3707
180 MAIN ST, Waterville, ME 04901

Other Names 1

Former Name (1)Ms. Shelby Marie Wilcox Lcpc-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shelby Marie Pelletier Lcpc-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Pelletier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
50 MOODY STREET
Saco, ME 04072
  • Reassigned Medicare billing, Maine enrollment
  • 200 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
180 MAIN ST
WATERVILLE, ME 04901
Social Worker (Clinical)
180 MAIN ST
WATERVILLE, ME 04901
Social Worker (Clinical)
180 MAIN ST
WATERVILLE, ME 04901
Counselor (Professional)
180 MAIN ST, SUITE 4
WATERVILLE, ME 04901
Registered Nurse (Home Health)
180 MAIN ST
WATERVILLE, ME 04901

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 Shelby Pelletier's NPI number?

The NPI number for Shelby Pelletier is 1154684843. It was assigned to this individual provider in the NPPES registry on June 19, 2012. The provider is also known as Ms. Shelby Marie Wilcox Lcpc-C.

Where is Shelby Pelletier located?

Shelby Pelletier practices at 180 Main St, Waterville, ME 04901. The listed phone number is (207) 872-5300.

What is Shelby Pelletier's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shelby Pelletier enrolled in Medicare?

Yes. Shelby Pelletier is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Pelletier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Pelletier reassigns Medicare benefits to Sweetser (Saco, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Pelletier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelby Pelletier was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.