Active NPI
Samuel T Shannon
- Marriage & Family Therapist
- West Monroe, LA
National Provider Identifier
1265238133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1407
- Practice address
- 403 N 6TH St Ste 2
West Monroe, LA 71291-4119 - Phone
- (318) 737-7201
- Fax
- (318) 737-7693
- NPI assigned
- Feb 21, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1407 | LA | Primary |
Addresses
Primary practice location
403 N 6TH St Ste 2
West Monroe, LA 71291-4119
Mailing address
403 N 6TH St Ste 2
West Monroe, LA 71291-4119
Phone (318) 737-7201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 N 6TH St
Suite 2
West Monroe, LA 71291-4119
Phone (318) 737-7201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407 | LA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finding Solace | Professional | Current | Accepting new patients |
Locations
403 N 6th St
Ste 2
West Monroe, LA 71291
Phone (318) 737-7201
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- West Monroe, LA
- NPI 1205231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1265238133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 N 6TH ST STE 2",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914119",
"telephone_number": "318-737-7201",
"fax_number": "318-737-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 N 6TH ST STE 2",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914119",
"telephone_number": "318-737-7201",
"fax_number": "318-737-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "SAMUEL",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "1407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.