Shannon Michelle Terrell, MS, EDS, ALC, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2952A Issued in AL

Practice address

931 Noble St Ste 309
Anniston, AL 36201-5667

Phone

(256) 343-5881

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1013486364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MAXANNA DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362061148",
            "telephone_number": "256-343-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NOBLE ST STE 309",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015667",
            "telephone_number": "256-343-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, EDS, ALC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2952A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Nicole Arnold Swindle, LICSW, BCC, 200-RYT
• Timothy Bret Tabor, M.D.
• Amy T Taylor, LPC
• Lafredia F. Taylor, LPC/RN
• William Teague
• Jacquline A Tessen, M.D.
• The Arc of Calhoun and Cleburne Counties
• The Broad Place Counseling
• The Cardiovascular Clinics, PC
• The Health Care Authority of the City of Anniston (Northeast Alabama Regional Medical Center)

• Mental Health Counselor in Anniston, AL
• Providers in Anniston, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.