Organization Active NPI

Shannon Weise Counseling, LLC

  • Clinical Social Worker
  • New Cumberland, PA
National Provider Identifier
1124863279
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHANNON WEISE COUNSELING, LLC
Practice address
401 15TH St
New Cumberland, PA 17070-1314
Phone
(717) 350-5242
Fax
(717) 474-3452
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Shannon Weise, LCSWNPI 1760504096
Title
Owner/Manager
Phone
(717) 350-5242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

401 15TH St
New Cumberland, PA 17070-1314

Mailing address

401 15TH St
New Cumberland, PA 17070-1314
Phone (717) 350-5242

Other names 1

  • The Anxiety & OCD Treatment Center of Central Pennsylvania Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shannon Weise Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1124863279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 15TH ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701314",
            "telephone_number": "717-350-5242",
            "fax_number": "717-474-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701314",
            "telephone_number": "717-350-5242",
            "fax_number": "717-474-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON WEISE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "WEISE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "717-350-5242",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Anxiety & OCD Treatment Center of Central Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Cumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.