Shawn Pantaliono, M.S., ED.S., LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

245129 Issued in KY

Practice address

713 Millpond Rd
Lexington, KY 40514-1570

Phone

(859) 309-2877

NPI assigned

Dec 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• The Trauma-Informed Counseling Center LLC

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1760066781
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1508049768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BEACON HL",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831247",
            "telephone_number": "859-321-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MILLPOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141570",
            "telephone_number": "859-309-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503A Darby Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091603",
            "country_code": "US",
            "telephone_number": "859-264-8796 x27",
            "fax_number": "859-264-9957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTALIONO",
        "first_name": "SHAWN",
        "credential": "M.S.,  ED.S., LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "127774",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "245129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakash Pandalai, MD
• Deepali Pandey, MBBS
• Komal Pandya, PHARM.D.
• Tanyia Rachelle Pangallo, RBT
• Erin Leigh Panizza
• Sierra Nichole Panting, DO
• Selena Pantoja, DMD
• Jennifer Michelle Panzo, RBT
• Rebeca R Papadinis, MED,LPCA,NCC
• Jordan L Papajeski, MS OTR/L

• Professional Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.