SHELLEY JEAN WHITEMAN I CASAC-ADVANCED
NPI 1861153637
Counselor - Addiction (Substance Use Disorder) in Tupper Lake, NY

Active since January 04, 2022
190 MAIN ST, TUPPER LAKE, NY 12986(518) 359-5401(518) 359-5401 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shelley Jean Whiteman I Casac-advanced NPPES

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

SHELLEY JEAN WHITEMAN I CASAC-ADVANCED (NPI 1861153637) is an individual addiction (substance use disorder) provider in Tupper Lake, New York, licensed in New York (12637) and active in the NPI registry since January 2022. She maintains a secondary practice location in Saranac Lake.

NPPES Registry Identity

NPI1861153637
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHELLEY JEAN WHITEMAN ICredential: CASAC-ADVANCED
Location Address190 MAIN STTupper Lake, NY 12986-1018
Mailing Address190 Main StTupper Lake, NY 12986-1018 · (518) 359-5401 · Fax (518) 359-5401
Fax(518) 359-5401
Sole ProprietorNo
Enumeration DateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
NPI 1861153637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 12637
190 MAIN ST, Tupper Lake, NY 12986

Secondary Practice Location 1

Location 150 John Munn RdSaranac Lake, NY 12983-1341 · Phone (518) 420-7440

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 Shelley Whiteman's NPI number?

The NPI number for Shelley Whiteman is 1861153637. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Shelley Whiteman located?

Shelley Whiteman practices at 190 Main St, Tupper Lake, NY 12986. The listed phone number is (518) 359-5401.

What is Shelley Whiteman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelley Whiteman was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.