Shannon Carnahan, LPC – Professional Counselor

Key facts

NPI: 1508684010
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 04980 (KS)
Practice address: 149 S Andover Rd Ste 100
Andover, KS 67002-7935
Phone: (316) 247-3063
Fax: (316) 247-6833
NPI assigned: Oct 2, 2024
Sex: Female
Sole proprietor: Yes

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.

Andover Family Counseling, LLC Clinical Social Worker · Andover, KS · NPI 1952804171

NPD SINGLE SPECIALTY

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
04861	KS	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Andover Family Counseling, LLC	Single Specialty	Current since Oct 6, 2024	Accepting new patients

Locations

149 S Andover Rd
Ste 100
Andover, KS 67002
Phone (316) 247-3063

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101YP2500X	04980	KS	Yes

Addresses

Primary practice location

149 S Andover Rd Ste 100
Andover, KS 67002-7935

Mailing address

8727 E Boston St
Wichita, KS 67207-3646
Phone (316) 516-8988

Other providers in Andover, KS

Betsy Bumgarner
Lyndsey Buseman, LCMFT
Casandra Lea Butler, MD
Shana Cables, MS, RD, LD
Carepoint Emergency Medicine Kansas, LLC
Caitlin Carpenter
Jeff Andrew Carpenter, CRNA
Henry Vance Carter, DC
Jessica J Carter
Cedar Surgical LLC

All providers in Andover, KS · Professional Counselor in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.