Active NPI
Shannon Renee May, LPC
- Mental Health Counselor
- Radford, VA
National Provider Identifier
1487818043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701003727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010195853 | Medicaid | VA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003727 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families R US, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Princeton, WV
- NPI 1073230967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.