Individual provider Active NPI

Shannon Nicolle Parrinello

  • Mental Health Counselor
  • Cape Coral, FL
National Provider Identifier
1619533130
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH24291 Issued in FL
Practice address
1404 Del Prado Blvd S Ste 135
Cape Coral, FL 33990-3782
Phone
(239) 265-0586
NPI assigned
May 10, 2019
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH24291 FL Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1404 Del Prado Blvd S Ste 135
Cape Coral, FL 33990-3782

Mailing address

3927 SW 17TH Ave
Cape Coral, FL 33914-5670
Phone (239) 265-0586

Other practice location 1

3900 Broadway Unit 1
Fort Myers, FL 33901-8193
Phone (239) 265-0586

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
IMH24291FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1619533130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 SW 17TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145670",
            "telephone_number": "239-265-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S STE 135",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903782",
            "telephone_number": "239-265-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Broadway Unit 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339018193",
            "country_code": "US",
            "telephone_number": "239-265-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRINELLO",
        "first_name": "SHANNON",
        "middle_name": "NICOLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24291",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.