Tayler K. Shannon, RN MA LPC LCAS NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9688 Issued in NC

Practice address

1821 Lendew St
Greensboro, NC 27408-7035

Phone

(336) 288-9190

NPI assigned

Aug 2, 2013

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1932531894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087035",
            "telephone_number": "336-288-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "TAYLER",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "RN MA LPC LCAS NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3221",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9688",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "147098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Shankar, MD
• Chad Shannon
• Jaimie Rose Joseph Shannon, NP
• Megan Rose Shannon, RN
• Sean Patrick Shannon, M.D.
• Laura Rosemary Shannonohouse, LPC
• Shanti's Promise Clinical Wellness
• Shapiro Eye Care PA
• Shapiro Eye Care, P.a.
• Claudia Shapiro, MSW, LCSW-A

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.