Active NPI
Shannon F Colgan, LPC
- Mental Health Counselor
- Boyertown, PA
National Provider Identifier
1558079061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC014766
- Practice address
- 1101 Reading Ave Lowr
Boyertown, PA 19512-7549 - Phone
- (484) 300-8290
- NPI assigned
- Nov 14, 2022
- Last updated
- Sep 25, 2026
- 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 | PC014766 | PA | Primary |
Addresses
Primary practice location
1101 Reading Ave Lowr
Boyertown, PA 19512-7549
Mailing address
1101 Reading Ave Lowr
Boyertown, PA 19512-7549
Phone (484) 300-8290
Other practice location 1
1800 E High St Ste 100
Sanatoga, PA 19464-3239
Phone (484) 374-2853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014766 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways for Change, LLC | Current | Accepting new patients | |
| Wayward & Wild Collective, LLC | Past | Accepting new patients | |
| Animal-Assisted Therapy, LLC | Past | Accepting new patients |
Locations
14 N 4th St
Emmaus, PA 18049
Phone (610) 421-6873
401 Chestnut St
Emmaus, PA 18049
Phone (610) 928-1097
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boyertown, PA
- NPI 1003727033
-
- Marriage & Family Therapist
- Emmaus, PA
- NPI 1801181128
-
- Adult Mental Health Clinic/Center
- Pottstown, PA
- NPI 1104435312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1558079061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 READING AVE LOWR",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195127549",
"telephone_number": "484-300-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 READING AVE LOWR",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195127549",
"telephone_number": "484-300-8290"
}
],
"practiceLocations": [
{
"address_1": "1800 E High St Ste 100",
"address_purpose": "LOCATION",
"city": "Sanatoga",
"state": "PA",
"postal_code": "194643239",
"country_code": "US",
"telephone_number": "484-374-2853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLGAN",
"first_name": "SHANNON",
"middle_name": "F",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC014766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boyertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.