Shannon Little, LMFT
Individual provider Active NPI Marriage & Family Therapist · Thomaston, CT
NPI 1306401005 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1306401005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2601 (CT)
- Practice address
- 143 Pine Hill Rd Unit 22E
Thomaston, CT 06787-1953 - Phone
- (203) 841-7150
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523000226 | CT | Practitioner - Marriage and Family Therapist | 7416399373 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Affiliates Inc | Past |
Accepting new patients |
Interoperability endpoints
- shannon.mccann.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2601 | CT | Yes |
Addresses
Primary practice location
143 Pine Hill Rd Unit 22E
Thomaston, CT 06787-1953
Mailing address
143 Pine Hill Rd Unit 22E
Thomaston, CT 06787-1953
Phone (203) 841-7150
Other providers in Thomaston, CT
- Lemon Tree Counseling Services, LLC
- Felechia M Lewis
- Melissa Lewis
- Lighthouse Medical Equipment, LLC
- Litchfield County Family Practice
- Judith Lombardo
- George E. Lush
- Lynn Wellcare Solutions LLC
- Shana A Marques
- Andrew James Matusiak
All providers in Thomaston, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.