Shannon Lynn Carney, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004463-1 Issued in NY

Practice address

650 Ridge Rd
Lackawanna, NY 14218-1435

Phone

(716) 828-7209

Fax

(716) 828-9745

NPI assigned

Feb 8, 2011

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

Credentials

Master of Arts

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 and National Provider Directory roles.

• Baker Hall

  • Developmentally Disabled Services Day Training Agency
  • Lackawanna, NY
  • NPI 1669695391
  NPD (past)
• Baker Hall Inc

  • Community/Behavioral Health Agency
  • Lackawanna, NY
  • NPI 1245352921
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1831495969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-7209",
            "fax_number": "716-828-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-7209",
            "fax_number": "716-828-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004463-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Caizza
• Maureen Callahan, DDS
• Rose Marie Carcione, SLP
• Aniela Cardinal, PHARM D
• Care More Pharmacy LLC
• Natalie Ann Cary
• Catholic Health System Program of All-Inclusive Care for the Elderly,
• Katie Cauley, PMHNP
• Sharon Cavanaugh
• Kevin Chapman Chapman

• Mental Health Counselor in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.