MICHAEL DAVID SHACKLETTE LPCC
NPI 1194217612
Counselor - Professional in Scottsville, KY

Active since May 31, 2018
512 VETERANS MEMORIAL HWY, SCOTTSVILLE, KY 42164(270) 901-5000 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2026, Nov 14, 2023, Feb 23, 2023 and 1 more (4 updates tracked since 2019).

About Michael David Shacklette Lpcc NPPES

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

MICHAEL DAVID SHACKLETTE LPCC (NPI 1194217612) is an individual professional provider in Scottsville, Kentucky, licensed in Kentucky (283406) and active in the NPI registry since May 2018. He maintains a secondary practice location in Bowling Green.

NPPES Registry Identity

NPI1194217612
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL DAVID SHACKLETTECredential: LPCC
Location Address512 VETERANS MEMORIAL HWYScottsville, KY 42164-8443
Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000 · Fax (270) 842-5268
Sole ProprietorNo
Enumeration DateMay 31, 2018
Last NPPES UpdateMarch 3, 20264 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1194217612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 283406
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
512 VETERANS MEMORIAL HWY, Scottsville, KY 42164

Secondary Practice Location 1

Location 1380 Suwannee Trail StBowling Green, KY 42103-7956 · Phone (270) 901-5000 · Fax (270) 842-5268

Other Identifiers 1

Medicaid7100878810KY

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164
Counselor (Professional)
512 VETERANS MEMORIAL HWY
SCOTTSVILL, KY 42164
Peer Specialist
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164
Case Manager/Care Coordinator
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164
Counselor (Mental Health)
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164
Rehabilitation Counselor
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164
Counselor
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164
Registered Nurse
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164

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 Michael Shacklette's NPI number?

The NPI number for Michael Shacklette is 1194217612. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Michael Shacklette located?

Michael Shacklette practices at 512 Veterans Memorial Hwy, Scottsville, KY 42164. The listed phone number is (270) 901-5000.

What is Michael Shacklette's specialty?

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

What insurance does Michael Shacklette accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Michael Shacklette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Shacklette was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.