Active NPI
Shannon Jean Calton, MS, LPCC
- Professional Counselor
- Moraine, OH
National Provider Identifier
1275979288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1100543
- Practice address
- 3055 Kettering Blvd Ste 111
Point West III
Moraine, OH 45439-1900 - Phone
- (937) 424-0210
- NPI assigned
- May 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1100543 | OH | Primary |
Addresses
Primary practice location
3055 Kettering Blvd Ste 111
Point West III
Moraine, OH 45439-1900
Mailing address
3146 Patsie Dr
Beavercreek, OH 45434-6032
Phone (513) 324-2521
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1100543 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1275979288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3146 PATSIE DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346032",
"telephone_number": "513-324-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 KETTERING BLVD STE 111",
"address_2": "POINT WEST III",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391900",
"telephone_number": "937-424-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALTON",
"first_name": "SHANNON",
"middle_name": "JEAN",
"credential": "MS, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1100543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.