Shannon Boyer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1401 S Elliott Ave
Aurora, MO 65605-2103

Phone

(417) 299-4470

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1851085302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 ETHAN AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657382134",
            "telephone_number": "801-661-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S ELLIOTT AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052103",
            "telephone_number": "417-299-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Everett Bell
• Joy Bell, NP
• Travis James Bell, PA-C
• Joseph L. Bizek, MD
• John D. Blackburn, P.T.
• Brian D. Petrovich, PSYD, LPC, LLC (Center for Psychological Health and Well-being)
• Bristol Care, Inc.
• Carolyn Ann Broyles, MS, LPC
• BT Acquisitions, LLC (Excel Physical Therapy)
• Christopher Shane Bunn, M.S., R.A.S.A.C II

• Professional Counselor in Aurora, MO
• Providers in Aurora, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.