Shannon Rene Herron

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5856 Issued in TN

Practice address

10434 Jackson Oaks Way
Knoxville, TN 37922-3293

Phone

(865) 730-4171

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1457409898
  NPD (past)
• G. Michael Pilcher, Inc.

  • Mental Health Counselor
  • Ormond Beach, FL
  • NPI 1205306313

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1144722067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 6TH ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202212",
            "telephone_number": "423-573-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 JACKSON OAKS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223293",
            "telephone_number": "865-730-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "SHANNON",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "5856",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Hunt Herring, O.D.
• Heather Ann Herrmann, B.A.
• Ronnie Lee Herrmann
• Christine Louise Herron, R.N.
• Lisa M. Herron, M.D.
• Herscher Consulation
• Megan Cassidy Herscher, PHD
• Christopher Herstek, DPT
• Benjamin Herwehe
• Leslie Herzog, BS

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.