Shannon Cutshall, PHD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007357 Issued in VA

Practice address

420 N Center Dr Ste 239B
Norfolk, VA 23502-0014

Phone

(757) 282-6309

Fax

(757) 282-6309

NPI assigned

Jun 10, 2016

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

• Libby Cutshall Other name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Unvaled Psychological PLLC

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1598275059

  Professional

  Medicare reassignment NPD Authorized official
• Eden Counseling Center

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1801906144
  NPD (past)
• Genesis Counseling Center, Inc.

  • Professional Counselor
  • Hampton, VA
  • NPI 1164451399
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1457700379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR STE 239B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020014",
            "telephone_number": "757-282-6309",
            "fax_number": "757-282-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR STE 239B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020014",
            "telephone_number": "757-282-6309",
            "fax_number": "757-282-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTSHALL",
        "first_name": "SHANNON",
        "credential": "PHD, LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006669",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHD LICENSE",
            "identifier": "0810007357",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "CUTSHALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Custom Compounds Inc
• Clifford Armstrong Cutchins V, M.D.
• Luke Cutherell, M.D.
• Kristin Barton Cuthriell, L.C.S.W., M.S.W.
• Danielle Cutler
• Rebecca A Cwik, NP-C
• Rebecca Cypert, DNP
• Anna Beth Czack, LPC
• Victoria Czuprynski, PT, DPT
• D & S Pharmacy Inc

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.