Shannon Taylor Brewer, MA, LPA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2100 Issued in NC

Practice address

132 Joe V. Knox Ave
Suite 104
Mooresville, NC 28117-9203

Phone

(704) 663-6666

Fax

(704) 663-5343

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RXN, LLC

  dba Psychiatric Services of Lake Norman

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Mooresville, NC
  • NPI 1013973312

  Counseling

  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184794448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 JOE V. KNOX AVE",
            "address_2": "SUITE 104",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-663-6666",
            "fax_number": "704-663-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JOE V. KNOX AVE",
            "address_2": "SUITE 104",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-663-6666",
            "fax_number": "704-663-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SHANNON",
        "middle_name": "TAYLOR",
        "credential": "MA, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "2100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "2100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Morgan Brawley, MA, LCMHCA
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• Tyler Matthew Breese, LCMHCA
• Keley Brennan
• Jacquelynne Breske, LMT
• Bridge of Hope Counseling Centers Inc
• Bright Life Home Care Agency LLC
• Brighter Mornings Home Care
• Brittany Flaherty OD PLLC
• Brittian Chiropractic Mooresville PLLC

• Counseling Psychologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Counseling Psychologist in North Carolina

• 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.