Shannon Boyer
Individual provider Active NPI Professional Counselor · Aurora, MO
NPI 1851085302 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1851085302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1401 S Elliott Ave
Aurora, MO 65605-2103 - Phone
- (417) 299-4470
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
1401 S Elliott Ave
Aurora, MO 65605-2103
Mailing address
499 Ethan Ave
Republic, MO 65738-2134
Phone (801) 661-9995
Other providers in Aurora, MO
- Charles Everett Bell
- Joy Bell
- Travis James Bell
- Joseph L. Bizek
- John D. Blackburn
- Brian D. Petrovich, PSYD, LPC, LLC
- Bristol Care, Inc.
- Carolyn Ann Broyles
- BT Acquisitions, LLC
- Christopher Shane Bunn
All providers in Aurora, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.