Shannon Rose Di Virgilio

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7013 Issued in TN

Practice address

324 Night Sail Dr N Apt 301
Memphis, TN 38103-0010

Phone

(706) 889-0383

NPI assigned

Sep 23, 2024

Last updated

Jun 20, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Restore Therapy Group

  • Clinical Social Worker
  • Germantown, TN
  • NPI 1740066331
  Medicare reassignment NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1629895669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 NIGHT SAIL DR N APT 301",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381030010",
            "telephone_number": "706-889-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NIGHT SAIL DR N APT 301",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381030010",
            "telephone_number": "706-889-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI VIRGILIO",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewitt H. King, D.D.S., P.C.
• Anita Dey, MD
• Ramasubbareddy Dhanireddy, MD
• Thirumalaivasan Dhasakeerthi, M.B.B.S
• DHP of Tennessee PC
• Diabetes Store Incorporated (Diabetes Store, Inc.)
• Diabetes Store, Incorporated (Diabetes and Respiratory Store)
• Diabetes Store, Incorporated (Diabetes and Respiratory Store)
• Diabetes Store, Incorporated (Diabetes Store, Inc.)
• Diabetic Specialties & Supply

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.

Verify at the official NPI Registry.