Shanon Adedokun, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4402 Issued in AL

Practice address

1331 Old Oak Place
Montgomery, AL 36117-8485

Phone

(334) 409-9242

Fax

(334) 409-9186

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By 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

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

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

• Grace Point Behavioral LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montgomery, AL
  • NPI 1720404619
  NPD
• Ground Up Behavioral Health LLC

  dba Ground Up Behavioral Health

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1902695661
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1376218537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 OLD OAK PLACE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178485",
            "telephone_number": "334-409-9242",
            "fax_number": "334-409-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 OLD OAK PLACE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178485",
            "telephone_number": "334-409-9242",
            "fax_number": "334-409-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDOKUN",
        "first_name": "SHANON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addus Healthcare, Inc. (Addus HomeCare)
• Emmanuel Antiaye Addy
• Adedolapo Nafisat Adedayo, MD
• Oluyinka Adediji, MD
• Rakiya O Adediji, CRNP
• ADHD Therapy Center
• Melchisedec Adobah
• Adolescent & Pediatric Associates
• Adph - Women Health Services
• Adult & Pediatric Medicine PC

• Professional Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.