Shelly Thome, LPC, CCTP, CCTSI
NPI 1518002286ActiveIndividual· Counselor· Glendale, AZ
Opted out of Medicare from January 2024 to January 2028. Counselor (LPC, CCTP, CCTSI) in Glendale, Arizona, licensed in AZ, with an NPI issued in February 2007.
Overview
| NPI | 1518002286 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, CCTP, CCTSI |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Sep 13, 2020 |
| Certified by provider | Sep 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LPC17691 | AZ |
| Counselor | 101Y00000X | LPC-17691 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 2, 2024 – Jan 2, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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