Individual provider Active NPI

Shanta Elizabeth Ward Pannell, MA., QMHP-C

  • Mental Health Counselor
  • Danville, VA
National Provider Identifier
1396531091
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0733003038 Issued in VA
Practice address
1555 Meadowview Dr Ste 5-6
Danville, VA 24541-7351
Phone
(877) 848-9810
NPI assigned
Apr 17, 2025
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0709026322 VA
Mental Health Counselor 101YM0800X 0733003038 VA Primary

Addresses

Primary practice location

1555 Meadowview Dr Ste 5-6
Danville, VA 24541-7351

Mailing address

5721 Level Run Rd
Long Island, VA 24569-2237
Phone (434) 421-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250529000478 VA Practitioner - Mental Health Counselor 2668991043 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0733003038VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. CurrentSince Mar 17, 2025 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Mar 17, 2025 Accepting new patients
Virginia Treatment Center of Lynchburg PC CurrentSince Aug 1, 2025 Accepting new patients
Crossroads Treatment Center of Danville, PC Past Accepting new patients
Crossroads Treatment Center of Suffolk, PC Past Accepting new patients
Crossroads Treatment Center of Winchester, PC Past Accepting new patients

Locations

301 Falls Dr NW
Ste 353
Abingdon, VA 24210
Phone (804) 431-5585

1555 Meadowview Dr
Ste 7
Danville, VA 24541
Phone (434) 770-6922

4024 Plank Rd
Fredericksburg, VA 22407

322 Neff Ave
Harrisonburg, VA 22801

2250 Murrell Rd
Lynchburg, VA 24501
Phone (434) 444-9902

2250 Murrell Rd
Ste B
Lynchburg, VA 24501

9274 Corporate Cir
Manassas, VA 20110
Phone (703) 496-7804

445 Commonwealth Blvd E
Ste B
Martinsville, VA 24112
Phone (276) 632-3841

12850 Governor G C Peery Hwy
Pounding Mill, VA 24637

227 E Belt Blvd
Ste C
Richmond, VA 23224

10531 S Crater Rd
South Prince George, VA 23805
Phone (804) 431-5820

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

163 Plaza Rd SW
Wise, VA 24293

Organizations & group practices 6

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1396531091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 LEVEL RUN RD",
            "city": "LONG ISLAND",
            "state": "VA",
            "postal_code": "245692237",
            "telephone_number": "434-421-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MEADOWVIEW DR STE 5-6",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245417351",
            "telephone_number": "877-848-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "SHANTA",
        "middle_name": "ELIZABETH WARD",
        "credential": "MA., QMHP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0709026322",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0733003038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.