Individual provider Active NPI

Shannon Little, LMFT

  • Marriage & Family Therapist
  • Thomaston, CT
National Provider Identifier
1306401005
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2601 Issued in CT
Practice address
143 Pine Hill Rd Unit 22E
Thomaston, CT 06787-1953
Phone
(203) 841-7150
NPI assigned
May 8, 2019
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2601 CT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240523000226 CT Practitioner - Marriage and Family Therapist 7416399373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2601CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Affiliates Inc PastSince Jun 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shannon.mccann.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1306401005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PINE HILL RD UNIT 22E",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871953",
            "telephone_number": "203-841-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PINE HILL RD UNIT 22E",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871953",
            "telephone_number": "203-841-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "SHANNON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, CT

Sources for this page

Verify at the official NPI Registry.