Individual provider Active NPI

Shanna Ann Townley, LMHC

  • Mental Health Counselor
  • Pembroke, MA
National Provider Identifier
1952838559
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12102 Issued in MA
Practice address
260 Washington St FL 1
Pembroke, MA 02359-1805
Phone
(617) 807-0021
Fax
(508) 427-1505
NPI assigned
May 15, 2017
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X 12102 MA Primary

Addresses

Primary practice location

260 Washington St FL 1
Pembroke, MA 02359-1805

Mailing address

PO Box 84
Pembroke, MA 02359-0084
Phone (617) 807-0021

Other names 1

  • Shanna Ann Maloit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240214000822 MA Practitioner - Mental Health Counselor 3779927124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

260 Washington St
Pembroke, MA 02359-1805
Phone (617) 807-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12102MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shanna Townley LMHC LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

260 Washington St
Pembroke, MA 02359
Phone (339) 526-1019

260 Washington St
Fl 1
Pembroke, MA 02359
Phone (617) 807-0021

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1952838559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023590084",
            "telephone_number": "617-807-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WASHINGTON ST FL 1",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591805",
            "telephone_number": "617-807-0021",
            "fax_number": "508-427-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNLEY",
        "first_name": "SHANNA",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "MALOIT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pembroke, MA

Sources for this page

Verify at the official NPI Registry.