Active NPI
Shannon Oliver
- Professional Counselor
- Oil City, PA
National Provider Identifier
1720622780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006844
- Practice address
- 248 Seneca St FL 3
Oil City, PA 16301-1371 - Phone
- (814) 678-8627
- Fax
- (814) 676-1016
- NPI assigned
- Nov 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006844 | PA | Primary |
Addresses
Primary practice location
248 Seneca St FL 3
Oil City, PA 16301-1371
Mailing address
173 Aires Hill Rd
Franklin, PA 16323-7801
Phone (814) 673-4189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Steffee Blvd
Seneca, PA 16346-3039
Phone (814) 677-1390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006844 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Clinic Inc | Current | Accepting new patients | |
| Mobile Counseling Associates Limited Liability Company | Past | Accepting new patients | |
| North Star Behavioral Health Services, LLC | Professional | Past | Accepting new patients |
Locations
145 Steffee Blvd
Seneca, PA 16346
Phone (814) 677-1390
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Seneca, PA
- NPI 1801623723
-
- Community/Behavioral Health Agency
- Franklin, PA
- NPI 1447601711
-
- Community/Behavioral Health Agency
- Oil City, PA
- NPI 1134343619
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572739200000",
"number": "1720622780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 AIRES HILL RD",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163237801",
"telephone_number": "814-673-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 SENECA ST FL 3",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163011371",
"telephone_number": "814-678-8627",
"fax_number": "814-676-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-03",
"last_updated": "2019-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oil City, PA
- April O'Neil, COTA
- Oakwood Heights SNF Opco Operating Company LLC (Oakwood Heights Village)
- Oil City Area School District
- Oil City PA Opco LLC (Oil City Nursing and Rehab)
- Oil City Physical Therapy Inc
- Hope Owens, MSW
- Ronald Irwin Palmer, MA
- Penn North Centers for Advanced Wound Care Inc
- Gretchen Marie Pennington
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #05096)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.