Individual provider Active NPI

Shannon Rae Cipoletti, LPC

  • Professional Counselor
  • Beckley, WV
National Provider Identifier
1275870925
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2056 Issued in WV
Practice address
3049 Robert C Byrd Dr
Suite 370
Beckley, WV 25801-4465
Phone
(304) 254-9854
Fax
(304) 254-9485
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2056 WV Primary

Addresses

Primary practice location

3049 Robert C Byrd Dr
Suite 370
Beckley, WV 25801-4465

Mailing address

3049 Robert C Byrd Dr
Suite 370
Beckley, WV 25801-4465
Phone (304) 254-9854

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

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1275870925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 ROBERT C BYRD DR",
            "address_2": "SUITE 370",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014465",
            "telephone_number": "304-254-9854",
            "fax_number": "304-254-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 ROBERT C BYRD DR",
            "address_2": "SUITE 370",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014465",
            "telephone_number": "304-254-9854",
            "fax_number": "304-254-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLETTI",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.