Shannon Marie Kilroy, MS, LPC, LPCMH, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013263 Issued in PA

Practice address

112 W Oak LN
Glenolden, PA 19036-1346

Phone

(267) 854-7715

Fax

(267) 481-7172

NPI assigned

May 10, 2021

Last updated

Sep 17, 2026By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunflower Radiance Counseling LLC

  • Mental Health Counselor
  • Glenolden, PA
  • NPI 1164172029
  NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1891379467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E COOKE AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361404",
            "telephone_number": "267-235-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W OAK LN",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361346",
            "telephone_number": "267-854-7715",
            "fax_number": "267-481-7172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Cooke Ave",
            "address_purpose": "LOCATION",
            "city": "Glenolden",
            "state": "PA",
            "postal_code": "190361404",
            "country_code": "US",
            "telephone_number": "267-235-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILROY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MS, LPC, LPCMH, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013263",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00838300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "009455",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Glenolden, PA
• Providers in Glenolden, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.