Shannon L. Moreno, MED, BSW, LPC, LISAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-12275 Issued in AZ

Practice address

1901 N Trekell Rd
Casa Grande, AZ 85222-1770

Phone

(520) 421-2566

Fax

(520) 421-2775

NPI assigned

May 22, 2008

Sex

Female

Sole proprietor

Yes

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 Education

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.

• Helping Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Casa Grande, AZ
  • NPI 1083781959
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1750548038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 E SUNFLOWER ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226029",
            "telephone_number": "520-421-2566",
            "fax_number": "520-421-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221770",
            "telephone_number": "520-421-2566",
            "fax_number": "520-421-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SHANNON",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MED, BSW, LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-12275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Lillian Mooney
• Kathleen E Moore Bishop, MD
• Nicole Moraga
• Harry Stanley Morehead Jr., M.D.
• Esther Moreno
• Thomas P. Morris, N.P.
• Mitsy Dawn Morton, PMHNP-BC
• Catherine Ann Moskal, RPH
• Mott Haven Medical Center Inc
• Mountain View - Camelback, LLC (Medical Equipment Apparel and Supplies)

• Mental Health Counselor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.