Shay Lynn Swan, MS QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

408 E Vine St
Vienna, IL 62995-1612

Phone

(618) 658-2611

Fax

(618) 658-2501

NPI assigned

Feb 7, 2008

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

Other names 1

• Shay Farner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Family Counseling Center

  • Community/Behavioral Health Agency
  • Vienna, IL
  • NPI 1356726707
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1356529754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 MANEESE LN",
            "city": "GOREVILLE",
            "state": "IL",
            "postal_code": "629393612",
            "telephone_number": "618-713-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E VINE ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951612",
            "telephone_number": "618-658-2611",
            "fax_number": "618-658-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "SHAY",
        "middle_name": "LYNN",
        "credential": "MS QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAY",
            "last_name": "FARNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Smith, BSW, MHP
• Emilie St. Peter, MSW QMHP
• Alexis Steinsultz
• Allison Stram
• Michael Brantley Stricker, PT, DPT
• Dena C Taylor, NP-C
• Darlene R Terbrak, M.S.
• Ashley Thomas, BSW MHP
• Cynthia Tremblay, COTA L, QMRP
• Gregory Allen Turner, MSW, QMHP

• Counselor in Vienna, IL
• Providers in Vienna, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.