Shannon Coleman Humphries, ALC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2358A Issued in AL

Practice address

1820 Glynwood Dr Ste B
Prattville, AL 36066-5533

Phone

(334) 358-2455

NPI assigned

Dec 17, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerge Counseling LLC

  • Counselor
  • Prattville, AL
  • NPI 1588394415
  NPD
• Ellis Counseling LLC

  • Professional Counselor
  • Prattville, AL
  • NPI 1649544453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1003402694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 GLYNWOOD DR STE B",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665533",
            "telephone_number": "334-358-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 GLYNWOOD DR STE B",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665533",
            "telephone_number": "334-358-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "SHANNON",
        "middle_name": "COLEMAN",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C2358A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Howard Jr.
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• Starrah Galloway Huffman
• Sarah A Hughey, SLP
• Julie Nichols Hunter, R.PH.
• Ideal Performance Incorporated
• Imi Prattville Radiology PLLC
• Danny P Ingram, MD
• Innerfit of Prattville, LLC

• Professional Counselor in Prattville, AL
• Providers in Prattville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.