Marie Lena Shannon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008387 Issued in NY

Practice address

5000 Expressway Dr S
Holbrook, NY 11741-1814

Phone

(631) 241-5525

NPI assigned

May 15, 2025

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

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1710778063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BOXWOOD DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542907",
            "telephone_number": "631-241-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 EXPRESSWAY DR S",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411814",
            "telephone_number": "631-241-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MARIE",
        "middle_name": "LENA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Sessa, M.S. CCC-SLP
• Maryellen Sessa, RN
• Melissa Severino, RN, BSN
• Amie Shah
• Kaitlyn Shannon, RN
• Ila Sharko, LPN
• Jonathan Sholder, PHARMD
• Foazia Siddiq, M.D.
• Phyllis G Simon-Goldman, MD
• Kimberly Ann Sirico-Hamel, LPN

• Mental Health Counselor in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.