Individual provider Active NPI

Emma Shannon, LPC

  • Professional Counselor
  • Swissvale, PA
National Provider Identifier
1386210615
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016039 Issued in PA
Practice address
1102 S Braddock Ave
Swissvale, PA 15218-1266
Phone
(672) 348-4257
NPI assigned
May 27, 2021
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016039 PA Primary

Addresses

Primary practice location

1102 S Braddock Ave
Swissvale, PA 15218-1266

Mailing address

1102 S Braddock Ave
Swissvale, PA 15218-1266
Phone (672) 348-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC016039PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serpentine Path Counseling LLC Professional CurrentSince Feb 18, 2024 Accepting new patients

Locations

1102 S Braddock Ave
Ste 3
Swissvale, PA 15218
Phone (724) 462-4138

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1386210615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S BRADDOCK AVE",
            "city": "SWISSVALE",
            "state": "PA",
            "postal_code": "152181266",
            "telephone_number": "672-348-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S BRADDOCK AVE",
            "city": "SWISSVALE",
            "state": "PA",
            "postal_code": "152181266",
            "telephone_number": "672-348-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "EMMA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swissvale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.