Shannon Ledel Pickett-Mills

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

100 Merrimack St Ste 205
Lowell, MA 01852-1707

Phone

(978) 455-0756

Fax

(978) 455-0770

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

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.

• Trinity Care Associate

  • Mental Health Counselor
  • Lowell, MA
  • NPI 1144727157
  NPD
• Trinity Care Associate

  • Multi-Specialty Clinic/Center
  • Lowell, MA
  • NPI 1366909665
  NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1023722345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W SQUANTUM ST APT 1004",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712111",
            "telephone_number": "334-462-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST STE 205",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521707",
            "telephone_number": "978-455-0756",
            "fax_number": "978-455-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT-MILLS",
        "first_name": "SHANNON",
        "middle_name": "LEDEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Keodara Phomthavong, MSW
• Physical Therapy & Rehabilitation Associates, Inc.
• Amanda Piccolino, MSC
• Vuth Pich, MSW
• Heather B Pickard, MSW, LICSW
• Peggy L Piekos
• Karen Pierce-Conwell, NP
• Dave Dominique Pierre Louis
• Juliette Pieslak, MS, CCC-SLP
• Brian John Pietrantonio, O.D.

• Marriage & Family Therapist in Lowell, MA
• Providers in Lowell, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.