Cynthia J Shannon, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1908 Issued in NC

Practice address

505 E Main St
Clayton, NC 27520-2621

Phone

(919) 901-9123

NPI assigned

Feb 14, 2008

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Heart Therapy PLLC

  • Community/Behavioral Health Agency
  • Clayton, NC
  • NPI 1336642107
  NPD Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1578731352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST STE 204",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202621",
            "telephone_number": "919-901-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201724",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Sennert, MA, LCMHCS
• Serenity Mental Wellness LLC
• Seva Integrated Care Services LLC
• Reeda Gul Shakir, D.O
• Keelin Hunter Shakofsky, BCBA
• Jasmine Shaw
• Lauren Shaw
• Kathryn Shealy
• Joan S Shepherd
• Tanisha A Shepherd

• Marriage & Family Therapist in Clayton, NC
• Providers in Clayton, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.