Abby Anne Shannon, MA, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

094519 Issued in IA

Practice address

709 3Rd St SW
Waverly, IA 50677-3233

Phone

(563) 608-4811

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Medicare reassignment NPD
• Waverly Health Center

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1598959371
  Medicare reassignment NPD
• Paw Print Mental Health Services, LLC

  • Mental Health Counselor
  • Waverly, IA
  • NPI 1134097397
  NPD Authorized official
• Waverly Health Center

  • Rural Health Clinic/Center
  • Janesville, IA
  • NPI 1184094534
  NPD
• Waverly Health Center

  • Rural Health Clinic/Center
  • Waverly, IA
  • NPI 1255659124
  NPD (past)
• Waverly Health Center

  • Rural Health Clinic/Center
  • Shell Rock, IA
  • NPI 1871860569
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1528526092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 3RD ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773233",
            "telephone_number": "563-608-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 3RD ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773233",
            "telephone_number": "563-608-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ABBY",
        "middle_name": "ANNE",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "094519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005823",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Renee Schwab Roe, LPT
• Stephanie A Schwinn, MSW
• Stephanie Danielle Scribner, CCC-SLP
• Martha Elaine Severance, RPH
• Christine Sexton
• Susan Shaw, OTRL
• Jessica Kay Shipman, ACADC
• Todd Larry Shover, D.O.
• Penny Susan Sievers, OTR/L
• Allen Cole Simpson, CRNA

• Mental Health Counselor in Waverly, IA
• Providers in Waverly, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.