Individual provider Active NPI

Shannon Noon, LCPC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1598897712
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1291 Issued in MT
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

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1291MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Noon, LCPC, LLC Professional CurrentSince May 19, 2024 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

Verify at the official NPI Registry.