Individual provider Active NPI

Shannon Renee May, LPC

  • Mental Health Counselor
  • Radford, VA
National Provider Identifier
1487818043
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003727 Issued in VA
Practice address
409 E Main St Ste a
Radford, VA 24141-1983
Phone
(540) 731-0360
Fax
(540) 731-0362
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003727 VA Primary

Addresses

Primary practice location

409 E Main St Ste a
Radford, VA 24141-1983

Mailing address

409 E Main St Ste a
Radford, VA 24141-1983
Phone (540) 731-0360

Other identifiers 1

IdentifierTypeStateIssuer
010195853MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20250313003344 WV Practitioner - Mental Health Counselor 0446772990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Thorn St
Suite a
Princeton, WV 24740-3571
Phone (681) 282-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701003727VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Families R US, LLC CurrentSince Dec 24, 2024 Accepting new patients

Locations

109 Thorn St
Ste A
Princeton, WV 24740
Phone (304) 920-1651

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1487818043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E MAIN ST STE A",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411983",
            "telephone_number": "540-731-0360",
            "fax_number": "540-731-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E MAIN ST STE A",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411983",
            "telephone_number": "540-731-0360",
            "fax_number": "540-731-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010195853",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.