Individual provider Active NPI

Shannon Carlisle Fincher, LPC

  • Professional Counselor
  • Chatom, AL
National Provider Identifier
1104301134
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4517 Issued in AL
Practice address
137 East Front Street, Suite 105
Chatom, AL 36518
Phone
(251) 242-5606
NPI assigned
Sep 25, 2018
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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 4517 AL Primary

Addresses

Primary practice location

137 East Front Street, Suite 105
Chatom, AL 36518

Mailing address

PO Box 351
Chatom, AL 36518-0351
Phone (251) 242-5606

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
4517ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SCF Family First Counseling, Inc. Professional CurrentSince Jan 21, 2022 Accepting new patients
Lifevesting International Past Accepting new patients

Organizations & group practices 2

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1104301134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365180351",
            "telephone_number": "251-242-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EAST FRONT STREET, SUITE 105",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "36518",
            "telephone_number": "251-242-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCHER",
        "first_name": "SHANNON",
        "middle_name": "CARLISLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatom, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.