Shannon L Groh, Ma, LPC Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6410103838 Issued in MI

Legal business name

SHANNON L GROH, MA, LPC COUNSELING, PLLC

Practice address

2600 Morton Ave
Saint Joseph, MI 49085-2141

Phone

(269) 921-3643

NPI assigned

Oct 22, 2013

Last updated

Oct 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon L Groh, LPC

Title

Owner/Counselor

Phone

(269) 921-3643

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1508294901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 WYNDWICKE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MORTON AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852141",
            "telephone_number": "269-921-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON L GROH, MA, LPC COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "GROH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "269-921-3643",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6410103838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING SERVICES",
            "identifier": "6401013838",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aanal Shah, FNP-C
• Ami Shah, MD
• Mukund Shah, M.D.
• Riddhi Jay Shah, D.O.
• Margaret Anne Shanahan
• Sharkey Chiropractic P.C. (HealthSource of St. Joseph)
• Kushagra Sharma
• Tushar D Sharma
• Subramaniam R Shastri, MD
• Vijaya Shastri, MD

• Community/Behavioral Health Agency in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.