Active NPI
Shannon M Robinson, MA, LPCC
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1437669975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1648
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 863-8511
- NPI assigned
- Oct 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1648 | MN | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
9243 Clinton Ave S
Bloomington, MN 55420-3727
Phone (612) 600-4256
Other practice location 1
6600 France Ave S Ste 230
Edina, MN 55435-1810
Phone (952) 835-2002
Other practice location 2
14551 Judicial Rd Ste 100
Burnsville, MN 55306-4991
Phone (952) 898-5020
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 |
|---|---|---|---|
| 1648 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Growlery LLC | Past | Accepting new patients | |
| Bushman Psychological Services LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Burnsville, MN
- NPI 1861580607
-
- Counseling Psychologist
- Minneapolis, MN
- NPI 1306412770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437669975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9243 CLINTON AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554203727",
"telephone_number": "612-600-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-863-8511"
}
],
"practiceLocations": [
{
"address_1": "6600 France Ave S Ste 230",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554351810",
"country_code": "US",
"telephone_number": "952-835-2002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14551 Judicial Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553064991",
"country_code": "US",
"telephone_number": "952-898-5020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "1648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.