Active NPI
Shannon Schmitt, MS. ED., LMHC
- Mental Health Counselor
- Lockport, NY
National Provider Identifier
1699721936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003783-1
- Practice address
- 76 West Ave
Lockport, NY 14094-3641 - Phone
- (716) 514-9399
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 003783-1 | NY | Primary |
Addresses
Primary practice location
76 West Ave
Lockport, NY 14094-3641
Mailing address
76 West Ave
Lockport, NY 14094-3641
Phone (716) 514-9399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000506354003 | Other | NY | COMMUNITY BLUE |
| 0030241501 | Other | NY | UNIVERA |
Other names 1
- Shannon Radder
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003783-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Buffalo | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1962596718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1699721936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 WEST AVE",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140943641",
"telephone_number": "716-514-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 WEST AVE",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140943641",
"telephone_number": "716-514-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "SHANNON",
"credential": "MS. ED., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2022-03-07",
"certification_date": "2022-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003783-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000506354003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0030241501",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "RADDER",
"credential": "MS. ED., LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.