Active NPI
Shannon Noon, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1598897712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1291
- Practice address
- 1515 Fairview Ave
Suite 235
Missoula, MT 59801 - Phone
- (406) 532-1573
- Fax
- (406) 532-1541
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1291 | MT | Primary |
Addresses
Primary practice location
1515 Fairview Ave
Suite 235
Missoula, MT 59801
Mailing address
1515 Fairview Ave
Suite 235
Missoula, MT 59801
Phone (406) 532-1573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903003341 | MT | Practitioner - Mental Health Counselor | 2860931920 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 Fairview Ave
Suite 235
Missoula, MT 59801-7821
Phone (406) 532-1573
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1291 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Noon, LCPC, LLC | Professional | Current | Accepting new patients |
Locations
1515 Fairview Ave
Ste 235
Missoula, MT 59801
Phone (406) 532-1572
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1598897712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 FAIRVIEW AVE",
"address_2": "SUITE 235",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59801",
"telephone_number": "406-532-1573",
"fax_number": "406-532-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 FAIRVIEW AVE",
"address_2": "SUITE 235",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59801",
"telephone_number": "406-532-1573",
"fax_number": "406-532-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOON",
"first_name": "SHANNON",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.