Active NPI
Shannon M Powell, PC
- Professional Counselor
- Portsmouth, OH
National Provider Identifier
1700067477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0600565-SUPV
- Practice address
- 411 Court St
Portsmouth, OH 45662-3932 - Phone
- (740) 354-6685
- NPI assigned
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C0600565 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.140947 | OH | |
| Professional Counselor | 101YP2500X | E.0600565-SUPV | OH | Primary |
Addresses
Primary practice location
411 Court St
Portsmouth, OH 45662-3932
Mailing address
411 Court St
Portsmouth, OH 45662-3932
Phone (740) 354-6685
Other practice location 1
126 E 2nd St
Chillicothe, OH 45601-2593
Phone (513) 834-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0183585 | Medicaid | OH |
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 |
|---|---|---|---|
| C0600565 | OH | MD | Counselor |
| CDCA.140947 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.0600565-SUPV | OH | MD | Professional Counselor |
Interoperability endpoints
- shannon.powell.p1@direct.thecounselingcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1700067477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 COURT ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623932",
"telephone_number": "740-354-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 COURT ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623932",
"telephone_number": "740-354-6685"
}
],
"practiceLocations": [
{
"address_1": "126 E 2nd St",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456012593",
"country_code": "US",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-21",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C0600565",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.140947",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600565-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0183585",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.