Individual provider Active NPI

Shannon Beason Viola, PHD., LSSP, LP

  • Psychologist
  • Houston, TX
National Provider Identifier
1891501797
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34981 Issued in TX
Practice address
2815 Rosefield Dr
Houston, TX 77080-2605
Phone
(713) 479-0800
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34981 TX Primary

Addresses

Primary practice location

2815 Rosefield Dr
Houston, TX 77080-2605

Mailing address

17531 Driftwood Prairie LN
Houston, TX 77095-5122
Phone (620) 249-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34981TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Monarch School, Inc Psychologist CurrentSince Dec 8, 2024 Accepting new patients

Locations

2815 Rosefield Dr
Houston, TX 77080
Phone (713) 479-0800

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1891501797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17531 DRIFTWOOD PRAIRIE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955122",
            "telephone_number": "620-249-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 ROSEFIELD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802605",
            "telephone_number": "713-479-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLA",
        "first_name": "SHANNON",
        "middle_name": "BEASON",
        "name_prefix": "Dr.",
        "credential": "PHD., LSSP, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.