SHELLY TUTTLE LPC
NPI 1720107550
Counselor - Professional in Wausau, WI

Active since March 29, 2007
114 GRAND AVE, WAUSAU, WI 54403(715) 845-7175(715) 845-7142 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelly Tuttle Lpc NPPES

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

SHELLY TUTTLE LPC (NPI 1720107550) is an individual professional provider in Wausau, Wisconsin, licensed in Wisconsin (2867-125) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720107550
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHELLY TUTTLECredential: LPC
Location Address114 GRAND AVEWausau, WI 54403-6214
Mailing Address114 Grand AveWausau, WI 54403-6214 · (715) 845-7175 · Fax (715) 845-7142
Fax(715) 845-7142
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1720107550 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 WI · 2867-125
114 GRAND AVE, Wausau, WI 54403

Other Identifiers 1

Medicaid40974300WI

Other Providers at the Same Location NPPES 17

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

Social Worker
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Professional)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Mental Health)
114 GRAND AVE
WAUSAU, WI 54403
Psychologist
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Professional)
114 GRAND AVE
WAUSAU, WI 54403
Social Worker
114 GRAND AVE
WAUSAU, WI 54403
Social Worker (Clinical)
114 GRAND AVE
WAUSAU, WI 54403
Counselor (Addiction (Substance Use Disorder))
114 GRAND AVE
WAUSAU, WI 54403

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 Shelly Tuttle's NPI number?

The NPI number for Shelly Tuttle is 1720107550. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Shelly Tuttle located?

Shelly Tuttle practices at 114 Grand Ave, Wausau, WI 54403. The listed phone number is (715) 845-7175.

What is Shelly Tuttle's specialty?

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

When was this NPI record last updated?

The NPPES record for Shelly Tuttle was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.