Individual provider Active NPI

Shannon Monson, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1457081812
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5342-226 Issued in WI
Practice address
2010 Eastwood Dr Ste 300
Madison, WI 53704-5387
Phone
(608) 509-9287
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5342-226 WI Primary

Addresses

Primary practice location

2010 Eastwood Dr Ste 300
Madison, WI 53704-5387

Mailing address

2010 Eastwood Dr Ste 300
Madison, WI 53704-5387
Phone (608) 509-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240127000643 WI Practitioner - Mental Health Counselor 6800249756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5342-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greyley Wellness LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4785 Hayes Rd
Ste 201
Madison, WI 53704
Phone (608) 509-9287

2010 Eastwood Dr
Ste 300
Madison, WI 53704
Phone (608) 509-9287

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1457081812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 EASTWOOD DR STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045387",
            "telephone_number": "608-509-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 EASTWOOD DR STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045387",
            "telephone_number": "608-509-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSON",
        "first_name": "SHANNON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5342-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.