NPIMap

Organization Active NPI

Paw Print Mental Health Services, LLC

  • Mental Health Counselor
  • Waverly, IA
National Provider Identifier
1134097397
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PAW PRINT MENTAL HEALTH SERVICES, LLC
Practice address
709 3Rd St SW
Waverly, IA 50677-3233
Phone
(563) 608-4811
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Abby Anne Shannon, MS, LMHCNPI 1528526092
Title
Clinical Mental Health Therapist
Phone
(563) 608-4811

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

709 3Rd St SW
Waverly, IA 50677-3233

Mailing address

709 3Rd St SW
Waverly, IA 50677-3233
Phone (563) 608-4811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1134097397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 3RD ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773233",
            "telephone_number": "563-608-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 3RD ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773233",
            "telephone_number": "563-608-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAW PRINT MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "563-608-4811",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.