Shannon Nordt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4755 Linglestown Rd Ste 206
Harrisburg, PA 17112-8547

Phone

(717) 400-1871

Fax

(717) 814-5260

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Not Easily Broken, LLC

  dba Not Easily Broken Counseling Services

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1346026473
  NPD Authorized official
• Keystone Passionate Care, LLC

  • Home Health Agency
  • Harrisburg, PA
  • NPI 1568099240
  NPD
• Purposefully Soaring Counseling Services LLC

  • Social Worker
  • Harrisburg, PA
  • NPI 1386298404
  NPD
• Purposefully Soaring Counseling Services LLC

  • Professional Counselor
  • Harrisburg, PA
  • NPI 1629549928
  NPD
• Keystone Passionate Care Baltimore Limited Liability Company

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1821744426
  NPD

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1649910845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 SUNSET RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123015",
            "telephone_number": "717-805-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 LINGLESTOWN RD STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128547",
            "telephone_number": "717-400-1871",
            "fax_number": "717-814-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDT",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1629549928",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Harrisburg",
            "affiliation": "Y",
            "affiliationName": "Purposefully Soaring Counseling Services LLC",
            "address_1": "4755 Linglestown Rd Ste 206",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171128547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vinod Kumar Nookala, M.D.
• John Noone, PT
• Nicole Renee Noone, PT
• Sarah Y Noorbaksh, MD
• Rachel F Noorlag
• Cloria Norman
• Tracy Nornhold, OT
• Sheeva Norooz, DO
• Tina Norris, CRNP-PSYCH
• George G. Northrup Jr., D.C.

• Mental Health Counselor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.