NPIMap

Organization Active NPI

Shannon Deets Counseling LLC

  • Professional Counselor
  • Meadville, PA
National Provider Identifier
1275950693
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004908 Issued in PA
Legal business name
SHANNON DEETS COUNSELING LLC
Practice address
898 Park Ave
Suite 16
Meadville, PA 16335-3335
Phone
(814) 807-0487
NPI assigned
Mar 24, 2014
Last updated
Mar 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Shannon Deets, PH.D.NPI 1912153289
Title
Owner
Phone
(814) 807-0487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC004908 PA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW003132L PA

Addresses

Primary practice location

898 Park Ave
Suite 16
Meadville, PA 16335-3335

Mailing address

898 Park Ave
Suite 16
Meadville, PA 16335-3335

National Provider Directory

National Provider Directory

Locations

18278 Technology Dr
Meadville, PA 16335
Phone (814) 332-0095

898 Park Ave
Ste 16
Meadville, PA 16335
Phone (814) 807-0487

996 S Main St
Ste 102
Meadville, PA 16335
Phone (814) 350-1234

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1275950693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 PARK AVE",
            "address_2": "SUITE 16",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 PARK AVE",
            "address_2": "SUITE 16",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353335",
            "telephone_number": "814-807-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON DEETS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "DEETS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-807-0487",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004908",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW003132L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.