Shanon L. Stamper, LPCC
Individual provider Active NPI Professional Counselor · Whitesville, KY
NPI 1225537244 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1225537244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 104770 (KY)
- Practice address
- 2460 Carter Rd
Whitesville, KY 42378-9427 - Phone
- (270) 702-3416
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104770 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Home of Kentucky | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 104770 | KY | Yes |
Addresses
Primary practice location
2460 Carter Rd
Whitesville, KY 42378-9427
Mailing address
2460 Carter Rd
Whitesville, KY 42378-9427
Phone (270) 702-3417
Other providers in Whitesville, KY
- Stephanie Ann Millay
- Non Emergency Medical Transportation of Kentucky
- Deborah G Rhodes
- Tamara Kay Rhodes
- Zechariah James Roberts
- Ashlyn Stout Wathen
- Wathens Speech Therapy LLC
All providers in Whitesville, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.