Rachel K Shannon, LTD., PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000370 Issued in IL

Practice address

715 E Golf Rd
Suite 201B
Schaumburg, IL 60173-4597

Phone

(847) 867-2265

NPI assigned

Jun 23, 2007

Last updated

Mar 9, 2017By the provider in NPPES

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

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rachel K Shannon, PH.D. LTD

  • Community/Behavioral Health Agency
  • Schaumburg, IL
  • NPI 1174762348
  NPD (past)

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1326244633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD",
            "address_2": "SUITE 201B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734597",
            "telephone_number": "847-867-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD",
            "address_2": "SUITE 201B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734597",
            "telephone_number": "847-867-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON, LTD.",
        "first_name": "RACHEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.