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SHANELL WALLENTINE LPC
NPI 1427837228
Counselor - Professional in Meridian, ID

Active since September 21, 2023Opted out of Medicare · through Apr 29, 2028
3061 S MERIDIAN RD STE 100, MERIDIAN, ID 83642(208) 620-5399(208) 576-6915 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanell Wallentine Lpc NPPES

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

SHANELL WALLENTINE LPC (NPI 1427837228) is an individual professional provider in Meridian, Idaho, licensed in Idaho (LPC-9724) and active in the NPI registry since September 2023. She has opted out of Medicare through April 29, 2028.

NPPES Registry Identity

NPI1427837228
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANELL WALLENTINECredential: LPC
Location Address3061 S MERIDIAN RD STE 100Meridian, ID 83642-7962
Mailing Address2886 S Tagish WayMeridian, ID 83642-9190 · (208) 272-1563
Phone(208) 620-5399
Fax(208) 576-6915
Sole ProprietorNo
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1427837228 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 ID · LPC-9724
3061 S MERIDIAN RD STE 100, Meridian, ID 83642
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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

Shanell Wallentine Lpc 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 April 29, 2024 through April 29, 2028.

Opt-Out Effective DateApril 29, 2024
Opt-Out In Effect ThroughApril 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

GARRETT KROON LCPC
Counselor (Professional)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 477-8796
AMY TUCKER COUNSELING
Counselor (Mental Health)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 620-5399
AUSTIN HANSEN LPC
Counselor (Professional)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 620-5399
AMY J TUCKER LPC
Counselor (Mental Health)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 620-5399
GARRETT KROON COUNSELING LLC
Counselor (Professional)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 620-5399
JACLYN WOODBURY HARDY LPC
Counselor (Professional)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 620-5399
TYLER CAZIER
Counselor (Professional)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 461-8024
ALISON GRANT LPC
Counselor (Mental Health)
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642
Ada County (208) 620-5399

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 Shanell Wallentine's NPI number?

The NPI number for Shanell Wallentine is 1427837228. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Shanell Wallentine located?

Shanell Wallentine practices at 3061 S Meridian Rd Ste 100, Meridian, ID 83642. The listed phone number is (208) 620-5399.

What is Shanell Wallentine's specialty?

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

Is Shanell Wallentine enrolled in Medicare?

No. Shanell Wallentine has opted out of Medicare through April 29, 2028. 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 Shanell Wallentine was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.