Individual provider Active NPI

Shannon M Haring, LMHC, M.A., LMT, LMP

  • Mental Health Counselor
  • Hilo, HI
National Provider Identifier
1477700367
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC 281 Issued in HI
Practice address
101 Aupuni St Ste 117
Hilo, HI 96720-4260
Phone
(808) 557-5433
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT9172 HI
Mental Health Counselor 101YM0800X MHC 281 HI Primary

Addresses

Primary practice location

101 Aupuni St Ste 117
Hilo, HI 96720-4260

Mailing address

PO Box 6761
Hilo, HI 96720-8933
Phone (808) 557-5433

Other names 1

  • Ms. Shannon M Cornwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20250725002958 HI Practitioner - Mental Health Counselor 6800303785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Root 2 Rise CooperativeGroup PAC ID 1759896087, 9 clinicians

Practice addresses (Care Compare)

80 Pauahi St
Suite 101
Hilo, HI 96720-3043
Phone (831) 252-3266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MHC 281HIMDMental Health Counselor
MAT9172HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Root 2 Rise Cooperative CurrentSince Jun 1, 2025 Accepting new patients

Locations

80 Pauahi St
Ste 101
Hilo, HI 96720
Phone (808) 531-7222

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1477700367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6761",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208933",
            "telephone_number": "808-557-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST STE 117",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204260",
            "telephone_number": "808-557-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARING",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMHC, M.A., LMT, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT9172",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC 281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CORNWELL",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "M.A., LMT, LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.