Nicholas Shannon, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P140719 Issued in NY

Practice address

5913 Grove St
Ridgewood, NY 11385-2647

Phone

(562) 614-1609

NPI assigned

Feb 26, 2026

Sex

Male

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

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1659226405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 WOODWARD AVE APT 3R",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113852208",
            "telephone_number": "562-614-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 GROVE ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852647",
            "telephone_number": "562-614-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "NICHOLAS",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P140719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Serghie, DDS
• Deepak Setia, MD
• Kishore M Shah IX, DDS
• Abul B Shahidullah, MD
• Shatha Khalil Shahwan
• Sadath Ulla Shareef, B.PHARM; M.TECH
• Pradeep Sharma, M.D.
• Amr Shayeb, M.D
• Teresa Shen
• Haroun Sherhan, RPH

• Mental Health Counselor in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.