Shannon Rhea Lollar, PHD, LPC, LCPC, CCPT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

57625 Issued in MT

Practice address

2713 Oshaughnesy St
Missoula, MT 59808-1329

Phone

(469) 630-1615

NPI assigned

Jul 13, 2023

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Poppy and Sage Counseling PLLC

  • Mental Health Counselor
  • Missoula, MT
  • NPI 1548077332
  NPD Authorized official

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1386323681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18281",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 OSHAUGHNESY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081329",
            "telephone_number": "469-630-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLAR",
        "first_name": "SHANNON",
        "middle_name": "RHEA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LCPC, CCPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "57625",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Amber Lodato, PT, DPT
• C Paul Loehnen, MD
• Logan Cook Counseling, PLLC
• Davis Logan, SWLC, MSW
• Stephen G Lohning, MA, LAC,LCPC
• Lolo Creek Vision
• Natasha L Loman, MSW, LCSW
• Jill Lombardi
• Jacqueline Long
• Jesse Long, DPT

• Mental Health Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.