Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shanita Theil, MALPC

Individual provider Professional Counselor · NPI 1255732921

Mrs. Shanita Theil, MALPC is a Mental Health Counselor in Grandville, Michigan. Qualified in 2013, 13 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

4211 Parkway Place Dr SW
Grandville, MI 49418-2695
Phone: (616) 222-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (616) 327-8133

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401014175 (MI)

Record details

NPI number1255732921
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALPC
Sole proprietorNo
NPI enumeratedSeptember 11, 2014
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grandville