Active NPI
Shannon Tabor, LPC
- Mental Health Counselor
- Asheville, NC
National Provider Identifier
1811445950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14023
- Practice address
- 20 Battery Park Ave Ste 816
Asheville, NC 28801-2878 - Phone
- (828) 585-4066
- NPI assigned
- Sep 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1300341 | OH | |
| Mental Health Counselor | 101YM0800X | 14023 | NC | Primary |
Addresses
Primary practice location
20 Battery Park Ave Ste 816
Asheville, NC 28801-2878
Mailing address
12 Thurland Ave
Asheville, NC 28803-2428
Phone (828) 585-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 26, 2024 through Jun 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14023 | NC | MD | Mental Health Counselor |
| C.1300341 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1811445950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 THURLAND AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032428",
"telephone_number": "828-585-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BATTERY PARK AVE STE 816",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288012878",
"telephone_number": "828-585-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABOR",
"first_name": "SHANNON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1300341",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.