Shannon S. Wysinger, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401011056 Issued in MI

Practice address

5360 Moceri LN
Grand Blanc, MI 48439-4365

Phone

(810) 240-1849

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Shannon S Wysinger, LLC

  • Professional Counselor
  • Southfield, MI
  • NPI 1831711142
  NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1144472341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 MOCERI LANE",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394365",
            "telephone_number": "810-240-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 MOCERI LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394365",
            "telephone_number": "810-240-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSINGER",
        "first_name": "SHANNON",
        "middle_name": "S.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011056",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Woodward, LMSW
• Monica Worden
• Gwendolyn Wright, DNP
• Kyla Wright, MS, CCC-SLP
• Thomas C. Wright, D.O.
• Mariana Yacoub
• Mirna Sabah Mikhael Yacoub, MD
• Brandon Yambura
• Curtis Yapchai, MD
• Alanna Lynn Yapo, NP

• Counselor in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.