Payton Ashley Shannon, COUNSELOR IN TRAINEE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2507246 Issued in OH

Practice address

16 Evans Ave
Austintown, OH 44515-1621

Phone

(330) 330-8655

Fax

(330) 330-8657

NPI assigned

Jul 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Rajendra P Koirala, M.D., LLC

  • Psychiatry Physician
  • Youngstown, OH
  • NPI 1760977177

  Single Specialty

  NPD

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1659118826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124370",
            "telephone_number": "330-330-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EVANS AVE",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151621",
            "telephone_number": "330-330-8655",
            "fax_number": "330-330-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "PAYTON",
        "middle_name": "ASHLEY",
        "credential": "COUNSELOR IN TRAINEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.187159",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2507246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Mae Scott
• Carrie Lynn Seachrist, MA-CCC-SLP
• Second Phase, Inc.
• David Sexton
• Cary Lynn Shaffer
• Deena Lynn Shaw
• SHC Youngstown Ohio Outpatient Services LLC
• Mark Shehane, PEER SUPPORTER
• Morgan Shelton
• Shepherd of the Valley Lutheran Retirement Services, Inc.

• Counselor in Austintown, OH
• Providers in Austintown, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.