Active NPI
Shannon Mary Tagney
- School Counselor
- Lake Elsinore, CA
National Provider Identifier
1922946383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 260015714
- Practice address
- 18730 Grand Ave
Lake Elsinore, CA 92530-6256 - Phone
- (951) 253-7400
- NPI assigned
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15368 | CA | |
| School Counselor | 101YS0200X | 260015714 | CA | Primary |
Addresses
Primary practice location
18730 Grand Ave
Lake Elsinore, CA 92530-6256
Mailing address
18730 Grand Ave
Lake Elsinore, CA 92530-6256
Phone (951) 253-7400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260015714 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1922946383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18730 GRAND AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925306256",
"telephone_number": "951-253-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18730 GRAND AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925306256",
"telephone_number": "951-253-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGNEY",
"first_name": "SHANNON",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "15368",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "260015714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.