MEDICARE: MS. SHELLENA L ALCINDOR CDCA/QHMS/CPRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	APS.006119	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.194713	OH
3	171M00000X	Case Manager/Care Coordinator	QMHS.42226	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225901663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHELLENA L ALCINDOR CDCA/QHMS/CPRS

Provider Business Mailing Address
First Line	:	33 W MORRILL AVE APT 215
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-0006
Country	:	US
Telephone Number	:	614-594-9292
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W MORRILL AVE APT 215
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-0006
Country	:	US
Telephone Number	:	614-379-2051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	06/05/2026

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