Susan Shanks, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1209 17TH Ave
Monroe, WI 53566-2050

Phone

(608) 426-6463

Fax

(608) 631-3009

NPI assigned

Nov 11, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

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.

• Affinity Counseling LLC

  • Professional Counselor
  • Monroe, WI
  • NPI 1801581491
  NPD Authorized official

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1144762857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 17TH AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535662050",
            "telephone_number": "608-426-6463",
            "fax_number": "608-426-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 17TH AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535662050",
            "telephone_number": "608-426-6463",
            "fax_number": "608-631-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5508 Clayton Cir",
            "address_purpose": "LOCATION",
            "city": "Roscoe",
            "state": "IL",
            "postal_code": "610739533",
            "country_code": "US",
            "telephone_number": "815-908-9903",
            "fax_number": "608-631-3009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010588",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie L. Seibert, P.A.
• Serenity Haven Inc.
• Deborah A Setterstrom, CNM
• Diana Louise Shager, R.N.
• Suhail A Shaikh, M.D.
• Douglas R. Shearer, MD
• Kendra Shelton, OTR/L
• Carrie M Shippy, DC
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC

• Professional Counselor in Monroe, WI
• Providers in Monroe, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.