Individual provider Active NPI

Shannon Killey Hogg

  • Mental Health Counselor
  • Lacombe, LA
National Provider Identifier
1063163087
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8187 Issued in LA
Practice address
449 Autumn Haven Cir
Lacombe, LA 70445-6259
Phone
(985) 205-1434
NPI assigned
Jan 11, 2022
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3295 MS
Mental Health Counselor 101YM0800X 8187 LA Primary

Addresses

Primary practice location

449 Autumn Haven Cir
Lacombe, LA 70445-6259

Mailing address

449 Autumn Haven Cir
Lacombe, LA 70445-6259
Phone (985) 205-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 30, 2025 through Oct 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8187LAMDMental Health Counselor
3295MSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Family Counseling, LLC Mental Health CurrentSince Dec 29, 2024 Accepting new patients

Locations

1258 Brownswitch Rd
Ste C
Slidell, LA 70461
Phone (985) 661-0560

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1063163087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 AUTUMN HAVEN CIR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704456259",
            "telephone_number": "985-205-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 AUTUMN HAVEN CIR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704456259",
            "telephone_number": "985-205-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGG",
        "first_name": "SHANNON",
        "middle_name": "KILLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3295",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

Verify at the official NPI Registry.