Shannon Feeley, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL7984 Issued in ME

Practice address

50 Lydia LN
South Portland, ME 04106-2156

Phone

(207) 712-6036

NPI assigned

Feb 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1174320097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ELLSWORTH ST APT 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LYDIA LN",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062156",
            "telephone_number": "207-712-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEELEY",
        "first_name": "SHANNON",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Farrell
• Cassandra Marie Farrell, DO
• Farside Counseling, LLC
• Elizabeth A Faulkner, LMSW
• Laurie Matson Fear, LADC
• Ross Feller, M.D.
• Jacob Paul Felton, PHARMD
• Julia Fenton Schnee, LCSW
• Emeline Speyer Ferguson, LCSW
• Stephen Ferguson

• Mental Health Counselor in South Portland, ME
• Providers in South Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.