Shannon S Wysinger, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHANNON S WYSINGER, LLC

Practice address

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Phone

(810) 510-0443

Fax

(313) 488-2736

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Wysinger, LPCNPI 1144472341

Title

Owner

Phone

(810) 240-1849

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon S. Wysinger, LPC

  • Counselor
  • Grand Blanc, MI
  • NPI 1144472341
  NPD Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1831711142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CEDAR BEND DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393405",
            "telephone_number": "810-240-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "810-510-0443",
            "fax_number": "313-488-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON S WYSINGER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "WYSINGER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-240-1849",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lama Shami, BCBA, LBA
• Lydia Shami
• Basam Shamo, D.D.S.
• Shawynque Whitney Shankin, LMFT
• Bethany R Shanku, PA-C
• Shira Shapero, BCBA
• Jeffrey D Shapiro, MD
• Paul S Shapiro, MD
• Soheil Sharifi-Amina, D.O.
• Shariot Care, LLC

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.