Shannon Stoner White, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7553 Issued in NC

Practice address

233 S Main St
Davidson, NC 28036-8039

Phone

(704) 375-5354

Fax

(704) 375-3069

NPI assigned

Aug 18, 2008

Last updated

Mar 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanctuary Counseling Group

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1386785251
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1457507725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E FIFTH ST",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042379",
            "telephone_number": "704-375-5354",
            "fax_number": "704-375-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S MAIN ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368039",
            "telephone_number": "704-375-5354",
            "fax_number": "704-375-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHANNON",
        "middle_name": "STONER",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T. Wenning, MD
• Cathryn Rose Westra, FNP
• George Aubrey Wheeler III
• Craig Justice White, M.D.
• Krystal Shirelle White, LCMHC
• Patricia Diane Whitt, PH.D.
• Julianne Allen Whittington, MS, RD, LDN
• Michael B Wilhite, D.M.D, P.A.
• Addisson Randall Williams
• Brandon Williams, LCMHCA

• Mental Health Counselor in Davidson, NC
• Providers in Davidson, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.