Shannon Culligan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1306430871 Issued in MA

Practice address

363 Massachusetts Ave Ste 202
Lexington, MA 02420-4018

Phone

(860) 368-8536

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1427743863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOULEVARD ST STE 1R",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MASSACHUSETTS AVE STE 202",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204018",
            "telephone_number": "860-368-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLIGAN",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1306430871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Cross
• Theodore Paul Cross, PH.D.
• Ashley Zhane Crouch, LCSW
• Yaslyn Cruz
• Elaine Cui
• Susan M Culman, PH.D.
• Julie A Cummins
• Barry James Cunha, D.D.S.
• Jon Cunha
• Serena Delorise Cunningham

• Mental Health Counselor in Lexington, MA
• Providers in Lexington, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.