Shannon Simon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LAC-5164 Issued in LA

Practice address

209 N Main St
Opelousas, LA 70570-6256

Phone

(337) 942-6400

NPI assigned

Nov 13, 2019

Reactivated

Feb 24, 2022

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Integrated Wellness Clinic of Louisiana, LLC

  dba Integrated Wellness Clinic

  • Counselor
  • Baton Rouge, LA
  • NPI 1548602097
  NPD
• Healthy You Social Services, LLC

  • Community/Behavioral Health Agency
  • Opelousas, LA
  • NPI 1942508510
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1437794583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MARTIN LUTHER KING DR",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705252506",
            "telephone_number": "281-299-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-06-19",
        "certification_date": "2023-08-31",
        "deactivation_date": "2019-12-10",
        "reactivation_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC-5164",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Theresa Simien, LPN
• Makayla Simien Simien
• Tremika Michelle Simmons, PHARM D.
• Shauntel Simon-Lewis
• Emily Fruge Simon, M.D.
• Karen W Simpson, MD
• Mia A Singleton-Ben, M.D.
• Eric Sklenar, PHARMD
• Sleep Management, L.L.C. (VieMed)
• Sleep Resource of Opelousas, L.L.C.

• Addiction (Substance Use Disorder) Counselor in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.