Shannon Deets Counseling LLC

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

Organization subpart

No

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

Authorized official

Name

Shannon Deets, PH.D.

Title

Owner

Phone

(814) 807-0487

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 6

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

• Marian R Bideaux

  • Clinical Social Worker
  • Meadville, PA
  • NPI 1205938008
  NPD (past)
• Dale Humes

  • Professional Counselor
  • Meadville, PA
  • NPI 1578078333
  NPD (past)
• James D. Huselton II, MS, LPC

  • Counselor
  • Meadville, PA
  • NPI 1659738359
  NPD (past)
• Kourtney Polvinale, MS, LPC

  • Professional Counselor
  • East Millsboro, PA
  • NPI 1912605304
  NPD (past)
• Andrea Tracy Sheckler, M.S., LPC

  • Mental Health Counselor
  • Meadville, PA
  • NPI 1295229474
  NPD (past)
• Curtis Lee Taylor

  • Professional Counselor
  • Erie, PA
  • NPI 1750158804
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912153289",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024531890002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205938008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Severo-Stewart, CRNP
• Nicholas Michael Seyko, LCSW
• Rae'Ann Shaffer-Murawski, PTA
• Melanie Shaffer, AUD
• Taylor Marie Shank, PH.D.
• Hannah Shartle, LAPC
• Sean Thomas Shea, DC
• Andrea Tracy Sheckler, M.S., LPC
• Erin Dell Sheridan, LSW
• Paul E Shok, DMD, MDS

• Professional Counselor in Meadville, PA
• Providers in Meadville, PA by specialty
• Professional Counselor in Pennsylvania

• 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.