Organization Active NPI

Katrina Shannon, LMFT, PLLC

  • Marriage & Family Therapist
  • Oakbrook Terrace, IL
National Provider Identifier
1780447813
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KATRINA SHANNON, LMFT, PLLC
Practice address
2 Mid America PLZ Ste 110
Oakbrook Terrace, IL 60181-4711
Phone
(630) 216-9104
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Katrina Shannon, LMFTNPI 1417466012
Title
Practice Owner
Phone
(630) 216-9104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2 Mid America PLZ Ste 110
Oakbrook Terrace, IL 60181-4711

Mailing address

2 Mid America PLZ Ste 110
Oakbrook Terrace, IL 60181-4711
Phone (630) 216-9104

National Provider Directory

National Provider Directory

Locations

2 Mid America Plz
Ste 110
Oakbrook Terrace, IL 60181
Phone (630) 216-9104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1780447813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MID AMERICA PLZ STE 110",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814711",
            "telephone_number": "630-216-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MID AMERICA PLZ STE 110",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814711",
            "telephone_number": "630-216-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA SHANNON, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "630-216-9104",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.