Shannon Monck, M.A., LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18619 Issued in FL

Practice address

3919 Newberry Rd Ste 5
Gainesville, FL 32607-4828

Phone

(352) 373-8189

NPI assigned

Mar 14, 2017

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Phoenix Programs of Florida, Inc.

  • Community/Behavioral Health Agency
  • Brandon, FL
  • NPI 1962542423
  NPD (past)
• Village Counseling Center of Gainesville, Inc.

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1407306897
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1699216481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 NEWBERRY RD STE 5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074828",
            "telephone_number": "352-373-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 NEWBERRY RD STE 5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074828",
            "telephone_number": "352-373-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCK",
        "first_name": "SHANNON",
        "credential": "M.A., LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadid Mohammed Momen
• Maurice Moment, RBT
• Victoria Mompoint, CLD, CPM
• Alexandra Elizabeth Monaco, M.D.
• Jacqueline E Monck
• Nicole Mongilardi Valdez, MD
• Vincent Lynn Moniz
• Angela Semer Monk, IBCLC
• Jessica Monk
• Tamara Melissa Monk, MD

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.