Individual provider Active NPI

Shannon Nacole Rohr, MA

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1114199213
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH-6627 Issued in FL
Practice address
533 N Nova Rd
Suite 115
Ormond Beach, FL 32174-4447
Phone
(386) 898-5003
Fax
(386) 675-6490
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH-6627 FL Primary

Addresses

Primary practice location

533 N Nova Rd
Suite 115
Ormond Beach, FL 32174-4447

Mailing address

533 N Nova Rd
Suite 115
Ormond Beach, FL 32174-4447
Phone (386) 898-5003

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH-6627FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1114199213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "address_2": "SUITE 115",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-898-5003",
            "fax_number": "386-675-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "address_2": "SUITE 115",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-898-5003",
            "fax_number": "386-675-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHR",
        "first_name": "SHANNON",
        "middle_name": "NACOLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH-6627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.