Shannon Michael Merhoff

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

03435-T Issued in KS

Practice address

5815 Broadway Ave
Great Bend, KS 67530-3197

Phone

(620) 792-2544

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Center for Counseling and Consultation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Bend, KS
  • NPI 1104862549
  NPD (past)
• Center for Counseling and Consultation

  • Community/Behavioral Health Agency
  • Great Bend, KS
  • NPI 1679263750
  NPD (past)

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1629964515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303197",
            "telephone_number": "620-792-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303197",
            "telephone_number": "620-792-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERHOFF",
        "first_name": "SHANNON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "03435-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Park Home Equipment LLC
• Medical Park Pharmacy of Great Bend PA
• Medicalodges, Inc. (Medicalodges Great Bend)
• Medicalodges, Inc. (Gran Villas Great Bend)
• Angela D Meitner, COTA
• Jami Ann Merlau, MS, CCC-SLP
• Patricia Willene Mermis, APRN
• Peter Mick, NP-C
• Pamela M Middleton, LSCSW
• Darci Leigh Miller

• Counseling Psychologist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Counseling Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.