Active NPI
Shannon Marie Herr, LMHC CASAC
- Mental Health Counselor
- Orchard Park, NY
National Provider Identifier
1447393459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002613
- Practice address
- 6666 E Quaker St
Orchard Park, NY 14127-2547 - Phone
- (716) 536-6950
- Fax
- (716) 992-2683
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002613 | NY | Primary |
Addresses
Primary practice location
6666 E Quaker St
Orchard Park, NY 14127-2547
Mailing address
6666 E Quaker St
Orchard Park, NY 14127-2547
Phone (716) 536-6950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17605 | Other | NY | CASAC |
| 002613 | Other | NY | MENTAL HEALTH COUNSELOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002613 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1447393459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6666 E QUAKER ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272547",
"telephone_number": "716-536-6950",
"fax_number": "716-992-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6666 E QUAKER ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272547",
"telephone_number": "716-536-6950",
"fax_number": "716-992-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERR",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMHC CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASAC",
"identifier": "17605",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "002613",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.