Katie Lynn Shannon, LCAT, LCPC, LPC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

002452 Issued in NY

Practice address

919 Winton Rd S Ste 316
Rochester, NY 14618-1633

Phone

(315) 681-7958

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1780286088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOMBARD ST APT 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065703",
            "telephone_number": "315-681-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S STE 316",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181633",
            "telephone_number": "315-681-7958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Lombard St Apt 1",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041065703",
            "country_code": "US",
            "telephone_number": "315-681-7958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "LCAT, LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016675",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6353",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana L Shannon, ANP
• Dominique Shannon
• Elizabeth Shannon, PMHNP
• Erin Kate Shannon, RPA-C
• Ian Shannon
• Teresa Ann Shannon
• Arnold Larry Shapiro, MD
• Janine R Shapiro, M.D.
• Joel Lawrence Shapiro, M.D.
• Rebecca Shapley

• Art Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.