Shannon K Patterson, LMAC-T
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Osawatomie, KS
NPI 1104758887 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1104758887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 01361 (KS)
- Practice address
- 29875 W 339TH St
Osawatomie, KS 66064-4159 - Phone
- (913) 755-4357
- NPI assigned
- May 29, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01361 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01361 | KS | Yes |
Addresses
Primary practice location
29875 W 339TH St
Osawatomie, KS 66064-4159
Mailing address
12 E Armour Blvd Apt 102
Kansas City, MO 64111-1984
Phone (913) 755-4357
Other providers in Osawatomie, KS
- Osawatomie Health Care, LTD.
- Osawatomie State Hospital
- Osawatomie State Hospital
- Daniel Page
- Jamnadas R. Patil
- Kaitlin Marie Pickens
- Kimberly Poage
- Jonathan Anthony Pomatto
- Jillian Powell
- Renesha Prasko
All providers in Osawatomie, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.