Active NPI
Amanda Shannon, M.A.
- Mental Health Counselor
- Lynden, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 506 Grover St Ste 112
Lynden, WA 98264 - Phone
- (360) 383-8682
- Fax
- (360) 255-0439
- NPI assigned
- Jan 20, 2010
- Last updated
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MG 60146874 | WA | |
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Counselor | 101YM0800X | 61542 | CA |
Addresses
Primary practice location
506 Grover St Ste 112
Lynden, WA 98264
Mailing address
506 Grover St Ste 112
Lynden, WA 98264-1960
Phone (360) 383-8682
Other practice location 1
316 SE Pioneer Way
Oak Harbor, WA 98277-5716
Phone (360) 389-8735
Other practice location 2
316 SE Pioneer Way
Oak Harbor, WA 98277-5716
Phone (360) 389-8735
Other practice location 3
1050 Larrabee Ave Ste 204
Bellingham, WA 98225-7367
Phone (360) 383-8682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007301 | Medicaid | CA |
Other names 1
- Amanda Harman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ShannonCounseling.org |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG 60146874 | WA | MD | Mental Health Counselor |
| 61542 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Counseling LLC | Mental Health | Current | Accepting new patients |
| Hope and Thrive Counseling | Mental Health | Past | Accepting new patients |
Locations
1050 Larrabee Ave
Ste 204
Bellingham, WA 98225
Phone (360) 383-8682
506 Grover St
Ste 112
Lynden, WA 98264
Phone (360) 383-8682
Organizations & group practices 2
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.
-
dba Hope and Thrive Counseling Center
- Mental Health Counselor
- Lynden, WA
- NPI 1144875204
-
- Mental Health Counselor
- Mount Vernon, WA
- NPI 1124961263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1417288101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 GROVER ST STE 112",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982641960",
"telephone_number": "360-383-8682",
"fax_number": "360-255-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 GROVER ST STE 112",
"city": "LYNDEN",
"state": "WA",
"postal_code": "98264",
"telephone_number": "360-383-8682",
"fax_number": "360-255-0439"
}
],
"practiceLocations": [
{
"address_1": "316 SE Pioneer Way",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982775716",
"country_code": "US",
"telephone_number": "360-389-8735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 SE Pioneer Way",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982775716",
"country_code": "US",
"telephone_number": "360-389-8735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 Larrabee Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982257367",
"country_code": "US",
"telephone_number": "360-383-8682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "AMANDA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MG 60146874",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "61542",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007301",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ShannonCounseling.org",
"affiliation": "N",
"address_1": "506 Grover St Ste 112",
"city": "Lynden",
"state": "WA",
"country_code": "US",
"postal_code": "982641960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HARMAN",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.