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MRS. SHANITA THEIL MA LPC
NPI 1255732921
Counselor - Professional in Grandville, MI

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment
4211 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418(616) 222-3700 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, May 4, 2022 (2 updates tracked since 2022).

About Mrs. Shanita Theil Ma Lpc NPPES

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

MRS. SHANITA THEIL MA LPC (NPI 1255732921) is an individual professional provider in Grandville, Michigan, licensed in Michigan (6401014175) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255732921
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANITA THEILCredential: MA LPC
Location Address4211 PARKWAY PLACE DR SWGrandville, MI 49418-2695
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 222-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 11, 2014
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1255732921 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 MI · 6401014175
4211 PARKWAY PLACE DR SW, Grandville, MI 49418
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shanita Theil Ma Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921459868
PECOS Enrollment IDI20240104004125
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.

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.

GRACE NELSON
Social Worker
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
DR. JOSHUA MATLACK PSYD
Psychologist (Clinical)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
ALENA KENYON LMSW
Social Worker (Clinical)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
MICHELLE BERRY PA-C
Physician Assistant
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
JESSICA NICOLE GABERT
Behavior Analyst
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
SARAH HAGAN
Physician Assistant
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
ERICA MUNDY LPC
Counselor (Professional)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Kent County (616) 222-3700
DR. REBECCA LOW MARCHAND PSY.D.
Counselor
4211 PARKWAY PLACE DR SW, SUITE 100
GRANDVILLE, MI 49418
Kent County (616) 222-3700

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 Shanita Theil's NPI number?

The NPI number for Shanita Theil is 1255732921. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Shanita Theil located?

Shanita Theil practices at 4211 Parkway Place Dr SW, Grandville, MI 49418. The listed phone number is (616) 222-3700.

What is Shanita Theil's specialty?

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

Is Shanita Theil enrolled in Medicare?

Yes. Shanita Theil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shanita Theil accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Shanita Theil 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 Shanita Theil was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.