Ian David Shafer, MA, LPC
NPI 1639575038ActiveIndividual· Counselor, Professional· Holt, MI
Counselor, Professional (MA, LPC) in Holt, Michigan, licensed in MI, with an NPI issued in November 2014. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1639575038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LPC |
| Sole proprietor | No |
| NPI issued | Nov 12, 2014 |
| Last updated in NPPES | Nov 7, 2023 |
| Certified by provider | Nov 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401012915 | MI |
| Counselor | 101Y00000X | 6401012915 | MI |
| Counselor, Mental Health | 101YM0800X | 6401012915 | MI |
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) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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