Shannon J Mancini, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3754 W Indian Trail Rd
Spokane, WA 99208

Phone

(509) 559-3100

Fax

(509) 328-7528

NPI assigned

May 14, 2014

Last updated

May 22, 2019By 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 1

Addresses

Other names 1

• N/a J N/a Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Excelsior Wellness

  dba Excelsior

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1326267055
  Medicare reassignment NPD

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1952712804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 W INDIAN TRAIL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084736",
            "telephone_number": "509-559-3100",
            "fax_number": "509-328-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 W INDIAN TRAIL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99208",
            "telephone_number": "509-559-3100",
            "fax_number": "509-328-7528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Grafton Lane",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "22611",
            "country_code": "US",
            "telephone_number": "540-955-2400 x7274",
            "fax_number": "540-542-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Grafton Lane",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "22611",
            "country_code": "US",
            "telephone_number": "540-955-2400 x7274",
            "fax_number": "540-542-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "SHANNON",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "J",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Malucha
• Maluhana Psychiatry PLLC
• Denis Sergeyevich Mamonov, BA
• Karla Louise Managhan, RDH, LMP
• Brandy Jane Manchester, PA
• Devyn Hallie Nathan Mandala, OD
• Benjamin Mandel, B.A. IN PSYCHOLOGY
• Mikayla J Mandere
• Jennifer Alice Mandin, LCISW
• Alejandro Mandragon

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.