Tammy Shanahan, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1775 Issued in KY

Practice address

229 W Walnut St
Mayfield, KY 42066-2223

Phone

(270) 251-3666

Fax

(270) 251-3506

NPI assigned

Jun 21, 2006

Last updated

Aug 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merit Behavioral Associates, Inc

  • Mental Health Counselor
  • Paducah, KY
  • NPI 1467485110
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1821034646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W WALNUT ST",
            "address_2": "PO BOX 484",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662223",
            "telephone_number": "270-251-3666",
            "fax_number": "270-251-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W WALNUT ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662223",
            "telephone_number": "270-251-3666",
            "fax_number": "270-251-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "TAMMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1775",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000613",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S.E.W. Enterprises, Inc. (Duncan Specialty Pharmacy)
• James Savage, PH.D.
• Nicole Schmidt, APRN
• April Scoggins
• Louis L Seng, M.D.
• Donise B. Sheridan, O.D.
• Ramona Shoulta
• Lucinda Joy Sirls, RN
• Six Dimensions (Triana Institute)
• Joseph C. Slaughter, MD

• Mental Health Counselor in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.