Active NPI
Shannon Fitzpatrick Thomas, MA, LPC, NCC
- Professional Counselor
- Drexel Hill, PA
National Provider Identifier
1205500758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009425
- Practice address
- 5140 Pontiac Rd
Drexel Hill, PA 19026-4810 - Phone
- (610) 721-6472
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009425 | PA | Primary |
Addresses
Primary practice location
5140 Pontiac Rd
Drexel Hill, PA 19026-4810
Mailing address
5140 Pontiac Rd
Drexel Hill, PA 19026-4810
Phone (610) 721-6472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009425 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1205500758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 PONTIAC RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264810",
"telephone_number": "610-721-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 PONTIAC RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264810",
"telephone_number": "610-721-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHANNON",
"middle_name": "FITZPATRICK",
"credential": "MA, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.