Active NPI
Shannon Davis Licensed Professional Counseling
- Professional Counselor
- Pawley's Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SHANNON DAVIS LICENSED PROFESSIONAL COUNSELING
- Practice address
- 14323 Ocean Hwy Unit 4103
Pawleys Island, SC 29585-4817 - Phone
- (843) 608-0884
- NPI assigned
- Feb 24, 2025
- Last updated
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julee Krechel
- Title
- Office Manager
- Phone
- (843) 458-0643
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
14323 Ocean Hwy Unit 4103
Pawleys Island, SC 29585-4817
Mailing address
114 Lake TRL
Pawleys Island, SC 29585-7211
Other practice location 1
103 Queen St Ste D
Georgetown, SC 29440-3633
Phone (843) 602-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 Queen St
Ste D
Georgetown, SC 29440
Phone (843) 602-0884
14323 Ocean Hwy
Unit 4103
Pawleys Island, SC 29585
Phone (843) 310-4650
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Pawley's Island, SC
- NPI 1063985968
-
- Lactation Consultant (Non-RN)
- Pawley's Island, SC
- NPI 1770929945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1952107450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 LAKE TRL",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14323 OCEAN HWY UNIT 4103",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295854817",
"telephone_number": "843-608-0884"
}
],
"practiceLocations": [
{
"address_1": "103 Queen St Ste D",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403633",
"country_code": "US",
"telephone_number": "843-602-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHANNON DAVIS LICENSED PROFESSIONAL COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "KRECHEL",
"authorized_official_first_name": "JULEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-458-0643"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawley's Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.