Individual Healthcare Provider
Marvin Shelton, ED.S, ED.D, RSAP
Provider's NPPES record last updated: September 19, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003364969
- Primary Specialty
- Clinic/Center
- Practice Location
- Hazelwood, Missouri
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:00 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Ambulatory Health Care Facilities
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).
Taxonomy code 261Q00000X Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400XCounselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500XCase Manager/Care Coordinator
Other Service Providers
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Taxonomy code 171M00000XClinic/Center
Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM0801X
Provider-Reported License Information
- Counselor (Missouri)
- 9374
- Counselor (Missouri)
- 9374
Practice Locations
Practice Location
6110 Howdershell Rd
Hazelwood, Missouri 63042-1170
Phone: (314) 942-9499
Additional Practice Location
4166 Lindell Blvd
Suite 1b
Saint Louis, Missouri 63108-2945
Phone: (314) 580-3029
Record Information
- Enumeration Date
- September 20, 2016
- Provider's NPPES Record Last Updated
- September 19, 2019
- NPISignal NPPES Dataset
- August 2026
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