Shannon Beelner, LMHC
Individual provider Active NPI Mental Health Counselor · Ankeny, IA
NPI 1134857816 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1134857816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 00916 (IA)
- Practice address
- 2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417 - Phone
- (515) 989-8266
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 26, 2024 through Feb 26, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00916 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halls Life Counseling, LLC. | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00916 | IA | Yes |
Addresses
Primary practice location
2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417
Mailing address
310 SW Driftwood Dr
Ankeny, IA 50023-4407
Phone (515) 865-6334
Other providers in Ankeny, IA
- Sarah L Beattie
- Emma Beauchamp
- Sarah Jean Becker
- Angeline Elizabeth Beckley
- Gina Leann Beecher
- Bruce E Behrens
- Anna Bell
- Jennifer Margaret Bell
- Kelly Bell
- Barbara Anne Bellaire
All providers in Ankeny, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.