Active NPI
Shannon Nahara, MA, LPC
- Professional Counselor
- Battle Creek, MI
National Provider Identifier
1649739079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017134
- Practice address
- 72 North Ave
Battle Creek, MI 49017-3415 - Phone
- (720) 469-0644
- NPI assigned
- Mar 15, 2019
- Last updated
- May 6, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 6401017134 | MI | Primary |
Addresses
Primary practice location
72 North Ave
Battle Creek, MI 49017-3415
Mailing address
33 Anderson CT
Battle Creek, MI 49017-3854
Phone (720) 469-0644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017134 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1649739079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ANDERSON CT",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173854",
"telephone_number": "720-469-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173415",
"telephone_number": "720-469-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAHARA",
"first_name": "SHANNON",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.