DR. MARVIN SHELTON ED.S ED.D RSAP NPI 1003364969

NPI Information

NPI: 1003364969
Provider Name: DR. MARVIN SHELTON, ED.S, ED.D, RSAP
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual
Address: 6110 HOWDERSHELL RD
HAZELWOOD, MO
ZIP 63042
Phone: (314) 942-9499

Map and Directions

Get Directions

NPI Details

DR. Marvin Shelton, ED.S, ED.D, RSAP is a clinic center in Hazelwood, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR. Marvin Shelton, ED.S, ED.D, RSAP NPI is 1003364969. 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:

6110 HOWDERSHELL RD
HAZELWOOD, MO
ZIP 63042-170
Phone: (314) 942-9499

The enumeration date for this NPI number is 9/20/2016 and was last updated on 9/19/2019.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	9374	MISSOURI	No
2	101YP2500X	Counselor	Professional	9374	MISSOURI	No
3	171M00000X	Case Manager/Care Coordinator				No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
5	261Q00000X	Clinic/Center				Yes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI