Shannon Ann Hunter, LPCS, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18861 Issued in TX

Practice address

6628 Shadyview Dr
Antioch, TN 37013-5655

Phone

(409) 927-0944

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Shannon Ann Hicks Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1275637613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 SHADYVIEW DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135655",
            "telephone_number": "409-927-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 SHADYVIEW DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135655",
            "telephone_number": "409-927-0944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777017719",
            "country_code": "US",
            "telephone_number": "409-839-1002",
            "fax_number": "409-839-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "LPCS, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18861",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brightside.com",
            "affiliation": "N",
            "endpointDescription": "Brightside.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6628 Shadyview Dr",
            "city": "Antioch",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370135655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HICKS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "LPCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Honeybee Chiropractic LLC
• Zachary Michael Hood, M.D.
• Hope Way Transport LLC
• Jackie Houtz, OTR/L
• Caroline Hunt, CPNP
• Stacey Renee Hunter, P.T.
• Shemeka Cantrelle Ibrahim
• Ideal Dental Century Farms PLLC
• Independent Physical Therapy, LLC
• Inspired by Love Home Care, Inc.

• Professional Counselor in Antioch, TN
• Providers in Antioch, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.