Active NPI
Shannon Lynn Cullers, M.ED, LADAC II
- Addiction (Substance Use Disorder) Counselor
- Nashville, TN
National Provider Identifier
1669027926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 972
- Practice address
- 446 Metroplex Dr Ste 200a
Nashville, TN 37211-3139 - Phone
- (615) 970-6260
- Fax
- (615) 970-6267
- NPI assigned
- Aug 5, 2019
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 972 | TN | Primary |
Addresses
Primary practice location
446 Metroplex Dr Ste 200a
Nashville, TN 37211-3139
Mailing address
446 Metroplex Dr
Nashville, TN 37211-3186
Phone (615) 970-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912465121 | Medicaid | TN |
Other names 1
- Shannon Lynn Genz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LBN | Direct | AppleGate Health Services of Tennessee, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 972 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applegate Health Services of Tennessee, Inc | Past | Accepting new patients | |
| Applegate Health Services of Tennessee, Inc | Past | Accepting new patients | |
| Applegate Health Services of Tennessee, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba AppleGate Recovery Dickson
- Substance Use Disorder Rehabilitation Clinic/Center
- Dickson, TN
- NPI 1447851175
-
dba AppleGate Recovery of Brentwood
- Substance Use Disorder Rehabilitation Clinic/Center
- Nashville, TN
- NPI 1447961644
-
dba AppleGate Recovery Nashville
- Substance Use Disorder Rehabilitation Clinic/Center
- Nashville, TN
- NPI 1912465121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1669027926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 METROPLEX DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372113186",
"telephone_number": "615-970-6260",
"fax_number": "615-970-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 METROPLEX DR STE 200A",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372113139",
"telephone_number": "615-970-6260",
"fax_number": "615-970-6267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLERS",
"first_name": "SHANNON",
"middle_name": "LYNN",
"credential": "M.ED, LADAC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912465121",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LBN",
"affiliation": "Y",
"affiliationName": "AppleGate Health Services of Tennessee, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "446 Metroplex Dr Ste 200A",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372113139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "GENZ",
"middle_name": "LYNN",
"credential": "M.ED, LADAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.