Individual provider Active NPI

Shannon F Colgan, LPC

  • Mental Health Counselor
  • Boyertown, PA
National Provider Identifier
1558079061
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC014766 Issued in PA
Practice address
1101 Reading Ave Lowr
Boyertown, PA 19512-7549
Phone
(484) 300-8290
NPI assigned
Nov 14, 2022
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PC014766PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways for Change, LLC CurrentSince Jun 8, 2025 Accepting new patients
Wayward & Wild Collective, LLC PastSince Nov 1, 2022 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.

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.

Verify at the official NPI Registry.