Shannon Rene Goris, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401017357 Issued in MI

Practice address

1460 Walton Blvd Ste 60
Rochester Hills, MI 48309-1729

Phone

(248) 608-4514

NPI assigned

Feb 9, 2017

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Shannon Rene Abbott Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tree of Life Counseling Services LLCGroup PAC ID 4082156856, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tree of Life Counseling Services LLC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1023537495
  Medicare reassignment Care Compare group NPD
• Michael S Salter DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Rochester Hills, MI
  • NPI 1720166762
  NPD

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1285172338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10975 CEDAR ISLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862609",
            "telephone_number": "248-840-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD STE 60",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091729",
            "telephone_number": "248-608-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIS",
        "first_name": "SHANNON",
        "middle_name": "RENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017357",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015889",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ABBOTT",
            "middle_name": "RENE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Good Plan Homecare LLC
• Stacey Michelle Goodman, MSN, RN, ANP-BC
• Victor Henry-Loch Gordon, MD
• George A. Gorgis, PHARMACIST
• Jawan Gorgis, MD
• Rani Goriyo
• Debra Kay Gorney-Jankowski, MSN, RNCS
• Sachi Gowda, M.D.
• Patricia Lynn Goymerac, M.D.
• Glenn A Gradis, D.O.

• Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.