Active NPI
Shannon Reed
- Mental Health Counselor
- Matawan, NJ
National Provider Identifier
1821736570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PENDING
- Practice address
- 166 Main St
Matawan, NJ 07747-3104 - Phone
- (732) 290-9040
- NPI assigned
- May 23, 2022
- Last updated
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PENDING | NJ | Primary |
Addresses
Primary practice location
166 Main St
Matawan, NJ 07747-3104
Mailing address
5 Ford Ave
Freehold, NJ 07728-2407
Phone (732) 642-4088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1821736570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FORD AVE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282407",
"telephone_number": "732-642-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473104",
"telephone_number": "732-290-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.