Shannon Mouzon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2505 SE 11TH Ave Ste 238
Portland, OR 97202-1062

Phone

(646) 696-1289

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Aurora Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1871107045
  NPD Authorized official

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1780098996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SE 11TH AVE STE 238",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021062",
            "telephone_number": "646-696-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SE 11TH AVE STE 238",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021062",
            "telephone_number": "646-696-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZON",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sommer Fawn Mousel, MA PSYCHOLOGY
• Connie Mouser, RN,CDE
• Morgan Mousley, OTR/L
• Dana Lynn Moussalli, AGACNP
• Tatiana Mouton
• Kelsey Brenna Movchan, PSS, CRM, QMHA-R
• Move Better Chiropractic
• Move Strong Physical Therapy LLC
• Move to Recover Physical Therapy LLC
• Moveo

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.