Individual provider Active NPI

Shannon Lynn Cullers, M.ED, LADAC II

  • Addiction (Substance Use Disorder) Counselor
  • Nashville, TN
National Provider Identifier
1669027926
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
972 Issued in TN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1912465121MedicaidTN

Other names 1

  • Shannon Lynn Genz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
972TNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.