Active NPI
Shannon Maureen Gonter, LPCC
- Mental Health Counselor
- Louisville, KY
National Provider Identifier
1568842227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 245776
- Practice address
- 1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096 - Phone
- (502) 413-2137
- NPI assigned
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 245776 | KY | Primary |
Addresses
Primary practice location
1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096
Mailing address
1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096
Phone (502) 413-2137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245776 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1568842227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 GOLDSMITH LN STE 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183096",
"telephone_number": "502-413-2137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 GOLDSMITH LN STE 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183096",
"telephone_number": "502-413-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONTER",
"first_name": "SHANNON",
"middle_name": "MAUREEN",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "245776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.