Shannon Alison Hartman-Wilson, MA, LMFT,

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

963 Issued in NC

Practice address

5410 East 30a
Suite 212
Santa Rosa Beach, FL 32459

Phone

(850) 607-9108

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Shannon Alison Hartman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Balanced Choices, PLLC

  • Professional Counselor
  • Davidson, NC
  • NPI 1134378409
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1447294061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CAMP SHOAL DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590642",
            "telephone_number": "850-608-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 EAST 30A",
            "address_2": "SUITE 212",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-607-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN-WILSON",
        "first_name": "SHANNON",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39135",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "135JJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HARTMAN",
            "middle_name": "ALISON",
            "prefix": "MISS",
            "credential": "MA,LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Hall, OTRL
• Allison D Hammett, DPT
• Kimberly Hannon, PT
• Lloyd Harris, PT
• Rebecca Dier Hart, LMHC
• Mose Sim Hayes III, MD
• Heather Jackson, Ms, LMHC, LLC
• Juliana Hernandez
• Perry D Hight, MD
• Heather Marie Hilty, DO

• Marriage & Family Therapist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.