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

Mrs. Shasta Lane Gross, MA, LPC

Individual provider Professional Counselor · NPI 1184143539

Mrs. Shasta Lane Gross, MA, LPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Practices with Stange Clinic, PC, a 4-clinician group. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone: (616) 816-1758
Fax: (616) 333-7685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401018315 (MI)

Record details

NPI number1184143539
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Stange Clinic, Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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