TIMOTHY W MCSHANE MA LPC CAACD NCC NPI 1407185077

NPI Information

  • NPI: 1407185077
  • Provider Name: TIMOTHY W MCSHANE, MA, LPC, CAACD, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 516 CHERRY ST SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 456-6135

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NPI Details

Timothy W Mcshane, MA, LPC, CAACD, NCC is a mental health counselor in Grand Rapids, MI. Timothy W Mcshane, MA, LPC, CAACD, NCC NPI is 1407185077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

516 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503-702
Phone: (616) 456-6135
Fax: (231) 347-9313

The enumeration date for this NPI number is 12/10/2009 and was last updated on 3/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2101YP2500XCounselorProfessional6401010843MICHIGANNo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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