Shanon M Colbert
Individual provider Active NPI Professional Counselor · Troy, MO
NPI 1780341891 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1780341891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2021043585 (MO)
- Practice address
- 91 Troy SQ
Troy, MO 63379-3227 - Phone
- (844) 853-8937
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208000232 | MO | Practitioner - Mental Health Counselor | 7517300445 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021043585 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
91 Troy Sq
Troy, MO 63379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2021043585 | MO | Yes |
Addresses
Primary practice location
91 Troy SQ
Troy, MO 63379-3227
Mailing address
1800 Community
Clinton, MO 64735-8804
Other providers in Troy, MO
- Claire Elizabeth Chambers
- Danielle Rose Childs
- Chelsey Clark
- Clarkson Optometry Inc
- Clear Perspective, LLC
- Community Opportunities
- Community Opportunities
- Community Opportunities
- Community Opportunities
- Community Opportunities
All providers in Troy, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.