SHELBY DIETZE
NPI 1912756842
Counselor - Professional in Coudersport, PA

Q: What is Shelby Dietze's NPI number?

The NPI number for Shelby Dietze is 1912756842. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Q: What is Shelby Dietze's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Dietze was last updated on May 14, 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.

Active since May 14, 2024PECOS Enrolled

1 N MAIN ST FL 3, COUDERSPORT, PA 16915(814) 274-8651 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shelby Dietze NPPES

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

SHELBY DIETZE (NPI 1912756842) is an individual professional provider in Coudersport, Pennsylvania, licensed in Pennsylvania (PCF017139) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912756842

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHELBY DIETZE

Location Address1 N MAIN ST FL 3Coudersport, PA 16915-1754

Mailing Address43 Servidea DrRidgway, PA 15853-6333 · (814) 776-2145

Phone(814) 274-8651

Sole ProprietorNo

Enumeration DateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1912756842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PCF017139

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC017139 (PA)

1 N MAIN ST FL 3, Coudersport, PA 16915

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Dietze is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Shelby Dietze's NPI number?

The NPI number for Shelby Dietze is 1912756842. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Shelby Dietze located?

Shelby Dietze practices at 1 N Main St Fl 3, Coudersport, PA 16915. The listed phone number is (814) 274-8651.

What is Shelby Dietze's specialty?

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

Is Shelby Dietze enrolled in Medicare?

Yes. Shelby Dietze is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Dietze was last updated on May 14, 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.