Organization Active NPI

Shannon Noon, LCPC, LLC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1265007140
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHANNON NOON, LCPC, LLC
Practice address
1515 Fairview Ave Ste 235
Missoula, MT 59801-7821
Phone
(406) 532-1573
Fax
(406) 532-1541
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Shannon Joy Noon, LCPCNPI 1598897712
Title
Licensed Clinical Professional Coun
Phone
(406) 532-1573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1515 Fairview Ave Ste 235
Missoula, MT 59801-7821

Mailing address

1515 Fairview Ave Ste 235
Missoula, MT 59801-7821
Phone (406) 532-1573

Other names 1

  • Shannon Noon, LCPC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903003403 MT Part B Supplier - Clinic/Group Practice 8022557180 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

1515 Fairview Ave
Ste 235
Missoula, MT 59801
Phone (406) 532-1572

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1265007140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 FAIRVIEW AVE STE 235",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017821",
            "telephone_number": "406-532-1573",
            "fax_number": "406-532-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 FAIRVIEW AVE STE 235",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017821",
            "telephone_number": "406-532-1573",
            "fax_number": "406-532-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON NOON, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "NOON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "406-532-1573",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Noon, LCPC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.