Shannon Buckley, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00385300 Issued in NJ

Practice address

342 Egg Harbor Rd Ste B
Sewell, NJ 08080-1856

Phone

(856) 589-3420

NPI assigned

Jan 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• The Artemis Center for Guidance

  • Professional Counselor
  • Turnersville, NJ
  • NPI 1407197973
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1316445745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W BURLINGTON ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051722",
            "telephone_number": "609-752-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 EGG HARBOR RD STE B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801856",
            "telephone_number": "856-589-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "SHANNON",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00385300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles A Brumberg, D.O.
• David Bruner, MD
• Laurie R. Bruner, MD
• Christopher Bucci
• Diane Marie Buchanan, PT
• Michael Bundy, D.M.D
• Jonathan E Burke, D.M.D.
• Meghan Deirdre Burke, MD
• Kelly Burns, PH.D.
• Gina Bushby, DPT

• Mental Health Counselor in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.