SHANTY ROBBENNOLT MA, LPC, CAADC, CCS
NPI 1528402591
Counselor - Mental Health in Lansing, MI

Active since April 22, 2013Opted out of Medicare · through Jan 1, 2028
526 S CREYTS RD STE C, LANSING, MI 48917(517) 221-9522 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 8, 2023, Jun 11, 2022 (2 updates tracked since 2022).

About Shanty Robbennolt Ma, Lpc, Caadc, Ccs NPPES

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

SHANTY ROBBENNOLT MA, LPC, CAADC, CCS (NPI 1528402591) is an individual mental health provider in Lansing, Michigan, licensed in Michigan (6401012596) and active in the NPI registry since April 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1528402591
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANTY ROBBENNOLTCredential: MA, LPC, CAADC, CCS
Location Address526 S CREYTS RD STE CLansing, MI 48917-8263
Mailing Address526 S Creyts Rd Ste CLansing, MI 48917-8263 · (517) 221-9522
Sole ProprietorNo
Enumeration DateApril 22, 2013
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1528402591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401012596
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-02650 (MI)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401012596 (MI)
526 S CREYTS RD STE C, Lansing, MI 48917

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Shanty Robbennolt Ma, Lpc, Caadc, Ccs 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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.

Counselor (Professional)
526 S CREYTS RD STE C
LANSING, MI 48917

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 Shanty Robbennolt's NPI number?

The NPI number for Shanty Robbennolt is 1528402591. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Shanty Robbennolt located?

Shanty Robbennolt practices at 526 S Creyts Rd Ste C, Lansing, MI 48917. The listed phone number is (517) 221-9522.

What is Shanty Robbennolt's specialty?

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

Is Shanty Robbennolt enrolled in Medicare?

No. Shanty Robbennolt has opted out of Medicare through January 1, 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 Shanty Robbennolt was last updated on January 12, 2024. 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.