Melanie R Shannon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

259926 Issued in KY

Practice address

6900 Houston Rd Ste 12
Florence, KY 41042-4891

Phone

(310) 619-8989

NPI assigned

Oct 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M Shannon Enterprises

  • Mental Health Counselor
  • Florence, KY
  • NPI 1366181539
  NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1134630577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD STE 12",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424891",
            "telephone_number": "310-619-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Scott St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410112342",
            "country_code": "US",
            "telephone_number": "513-354-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MELANIE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "259926",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1700453",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "259926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "259926",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "C.1700453",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aparna Shah, M.D.
• Rahul Shah, DMD
• Briana Shandel, PT, DPT
• Elham Shanehsaz, MD
• Hayley Celeste Shannon, MED, BCBA, LBA, COBA
• Asha Sharma, M.D.
• Shattered 2 Restored
• Daniel Shaw, DC
• Clay M Shearer, MD
• David A Shearer, MD

• Professional Counselor in Florence, KY
• Providers in Florence, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.