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MS. SHELBY LYN-MARIE REMILLARD
NPI 1255742755
Counselor - Mental Health in New York, NY

Active since May 19, 2014Opted out of Medicare · through Mar 12, 2027
49 W 24TH ST STE 1004, NEW YORK, NY 10010(347) 752-1157 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shelby Lyn-marie Remillard NPPES

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

MS. SHELBY LYN-MARIE REMILLARD (NPI 1255742755) is an individual mental health provider in New York, New York, licensed in New York (008787-1) and active in the NPI registry since May 2014. She has opted out of Medicare through March 12, 2027.

NPPES Registry Identity

NPI1255742755
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHELBY LYN-MARIE REMILLARD
Location Address49 W 24TH ST STE 1004New York, NY 10010-3543
Mailing Address49 W 24th St Ste 1004New York, NY 10010-3543
Phone(347) 752-1157
Sole ProprietorNo
Enumeration DateMay 19, 2014
Last NPPES UpdateOctober 18, 2019
✔ NPI 1255742755 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 NY · 008787-1
49 W 24TH ST STE 1004, New York, NY 10010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Shelby Lyn-marie Remillard has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2025 through March 12, 2027.

Opt-Out Effective DateMarch 12, 2025
Opt-Out In Effect ThroughMarch 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

KATHRYN GROOMS, LCSW PC
Social Worker (Clinical)
49 W 24TH ST STE 1004
NEW YORK, NY 10010
New York County (347) 752-1157

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 Remillard's NPI number?

The NPI number for Shelby Remillard is 1255742755. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Shelby Remillard located?

Shelby Remillard practices at 49 W 24th St Ste 1004, New York, NY 10010. The listed phone number is (347) 752-1157.

What is Shelby Remillard's specialty?

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

Is Shelby Remillard enrolled in Medicare?

No. Shelby Remillard has opted out of Medicare through March 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shelby Remillard was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.