Shannon Backstrom, MHC
Individual provider Active NPI Mental Health Counselor · Danvers, MA
NPI 1851086953 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1851086953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 75 Lindall St
Danvers, MA 01923-2121 - Phone
- (978) 767-2847
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Column Health, LLC | Past |
Accepting new patients | |
| Column Health LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
75 Lindall St
Danvers, MA 01923-2121
Mailing address
75 Lindall St
Danvers, MA 01923-2121
Phone (978) 767-2847
Other providers in Danvers, MA
- Thelma Avanessian
- Nolen Avant
- Megan Avey
- Alyssa Azotea
- Stevi-Rae Baca
- Susan Karla Bade
- Erin Bagley
- Emily Bailey
- Jennifer Cole Baima
- Baker Eye Associates, PC
All providers in Danvers, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. 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.