Shannon B Diller

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011471 Issued in PA

Practice address

1929 Lincoln Hwy E Ste 150
Lancaster, PA 17602-3685

Phone

(717) 397-7625

Fax

(717) 397-7605

NPI assigned

Jun 13, 2019

Sex

Male

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

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.

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 and National Provider Directory roles.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD
• CHI St. Joseph Children'S Health

  • Child & Adolescent Psychiatry Physician
  • Lancaster, PA
  • NPI 1487196457

  Mental Health

  NPD (past)
• St Joseph Health Ministries

  • Public Health Dentistry
  • Lancaster, PA
  • NPI 1528362530
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1346809209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 LINCOLN HWY E STE 150",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023685",
            "telephone_number": "717-397-7625",
            "fax_number": "717-397-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 LINCOLN HWY E STE 150",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023685",
            "telephone_number": "717-397-7625",
            "fax_number": "717-397-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER",
        "first_name": "SHANNON",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Dietz, BCBA
• Simon Dietz, LCSW
• Ramonita Diffenderfer, RN
• Esther Elizabeth Digiacomo, PA-C
• Eric Diilio, LPC
• Yifu Ding
• Kaylee Dinga, OTR/L
• Emily Dingle
• Alexander Anthony Diobilda Jr., RPH
• Melanie McGee Diperna, PA-C

• Professional Counselor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.