Individual provider Active NPI

Shannon E Scibor, LPC

  • Professional Counselor
  • Brick, NJ
National Provider Identifier
1083420988
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00952000 Issued in NJ
Practice address
337 Drum Point Rd Ste 2B
Brick, NJ 08723-6885
Phone
(732) 231-5170
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00952000 NJ Primary

Addresses

Primary practice location

337 Drum Point Rd Ste 2B
Brick, NJ 08723-6885

Mailing address

2517 Highway 35 Ste D201
Manasquan, NJ 08736-1982
Phone (732) 231-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00952000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Integrative Counseling of Brick, LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

337 Drum Point Rd
Ste 2B
Brick, NJ 08723
Phone (732) 231-5170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1083420988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35 STE D201",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361982",
            "telephone_number": "732-231-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 DRUM POINT RD STE 2B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236885",
            "telephone_number": "732-231-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIBOR",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00952000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.