Organization Active NPI

Shannon Bolander, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1124821053
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHANNON BOLANDER, LLC
Practice address
5749 Park Center CT
Toledo, OH 43615-1479
Phone
(419) 392-3208
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Ms. Shannon Meredith Bolander, LPCC-S
Title
Counselor
Phone
(419) 392-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5749 Park Center CT
Toledo, OH 43615-1479

Mailing address

5749 Park Center CT
Toledo, OH 43615-1479
Phone (419) 392-3208

Other names 1

  • In Session Toledo Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1124821053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 PARK CENTER CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151479",
            "telephone_number": "419-392-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 PARK CENTER CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151479",
            "telephone_number": "419-392-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON BOLANDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "BOLANDER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "419-392-3208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Session Toledo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.