MR. IAN DAVID SHAFER MA, LPC
NPI 1639575038
Counselor - Professional in Holt, MI
About Mr. Ian David Shafer Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. IAN DAVID SHAFER MA, LPC (NPI 1639575038) is an individual professional provider in Holt, Michigan, licensed in Michigan (6401012915) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Ian David Shafer 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.
Medicare Billing Reassignment
Medicare enrollment records show Ian Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holt, MI 48842
- Reassigned Medicare billing, Michigan enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLT, MI 48842
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 Ian Shafer's NPI number?
The NPI number for Ian Shafer is 1639575038. It was assigned to this individual provider in the NPPES registry on November 12, 2014.
Where is Ian Shafer located?
Ian Shafer practices at 4025 Holt Rd Ste 205, Holt, MI 48842. The listed phone number is (517) 881-7231.
What is Ian Shafer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ian Shafer enrolled in Medicare?
Yes. Ian Shafer 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.
Which organization bills Medicare for Ian Shafer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ian Shafer reassigns Medicare benefits to Peace Of Mind Counseling, Consulting, And Supervision LLC (Holt, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ian Shafer accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Ian Shafer 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 Ian Shafer was last updated on November 7, 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.
# Mr. Ian David Shafer, MA, LPC · NPI 1639575038
Professional provider in Holt, Michigan. Individual provider, active in the CMS NPPES registry since November 12, 2014.
## Identity
- **NPI:** 1639575038 (Entity type: Individual)
- **Enumerated:** November 12, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401012915 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4025 HOLT RD STE 205, Holt, MI 48842-6019
- **Phone:** (517) 881-7231
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Peace Of Mind Counseling, Consulting, And Supervision LLC (NPI 1881197168, Holt, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639575038) · Data from the CMS NPPES public registry.