Thomas Jeffory McShannock, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001252A Issued in IN

Practice address

6765 E 800 N
Logansport, IN 46947-9341

Phone

(574) 721-6866

NPI assigned

Jun 2, 2006

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184661498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5377 N STATE ROAD 29",
            "city": "CAMDEN",
            "state": "IN",
            "postal_code": "469179588",
            "telephone_number": "574-859-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 E 800 N",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469479341",
            "telephone_number": "574-721-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANNOCK",
        "first_name": "THOMAS",
        "middle_name": "JEFFORY",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001252A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000353018",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Yvonne McClintock Glover, MD
• Kelsey Jo McCoy, DDS
• Robert Alan McKissick, M.D.
• Jaiden Marie McMinn
• Josilynn McNeil
• Kacey McWherter
• Danny J. Meadows Jr., M.D.
• Eric Elmer Meister, DC
• Susan Marie Melenovsky, BA
• Memorial Hospital

• Mental Health Counselor in Logansport, IN
• Providers in Logansport, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.