Shannon E Pivoney, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180013924 Issued in IL

Practice address

270 W Prairie Ave
Decatur, IL 62523-1221

Phone

(217) 816-9071

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1790457943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 STUTELY LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045234",
            "telephone_number": "217-816-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W PRAIRIE AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231221",
            "telephone_number": "217-816-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVONEY",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Anisha Pierson-Rye, DNP FNP-BC PMHNP-BC
• Lynae Aileen Pierson, DPM
• Linda S Pietrzak, NP
• Lena M Pinkston, LSW, CADC
• Brandon Michael Piper, D.M.D.
• Planned Parenthood of Decatur, Inc.
• Planned Parenthood of Illinois
• Juanette M Plato
• Pleasant Counseling LLC
• Diane S Pleasant, PSYD, LCPC, CADC

• Mental Health Counselor in Decatur, IL
• Providers in Decatur, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.