Shannon N Anderson, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2008014362 Issued in MO

Practice address

2909 Independence St
Cape Girardeau, MO 63703-5044

Phone

(573) 803-1402

Fax

(573) 803-1405

NPI assigned

Jun 13, 2008

Last updated

Jan 17, 2013By the provider in NPPES

Sex

Male

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tender Hearts Child Therapy Center, LLC

  dba Heartland Counseling Center

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1508103151
  NPD Authorized official
• Tender Hearts Child Therapy Center, LLC

  dba Tender Hearts Child Therapy Center

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1568777910
  Authorized official Same address or phone

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1093975971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHANNON",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008014362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesal Suresh Amin, MD
• Amity Health Services, LLC
• Brandon Lee Anderson, PHARMD, MBA
• John C Anderson, LPC
• McKynlee Paige Anderson, CRNA
• Aleksey Aleksandrovich Androsov, M.D.
• Anesthesia Associates of Cape Girardeau
• Anesthesia Associates of Cape Girardeau PC
• Ronald M Angles, DO
• Anne M. Heisserer, DC, LLC

• Professional Counselor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.