Active NPI
Shannah Gardiner Banion, LPCA
- Professional Counselor
- Richmond, KY
National Provider Identifier
1992342083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 244649
- Practice address
- 916 Red House Rd
Richmond, KY 40475-9326 - Phone
- (855) 591-0092
- NPI assigned
- Dec 8, 2019
- Last updated
- Dec 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 244649 | KY | Primary |
Addresses
Primary practice location
916 Red House Rd
Richmond, KY 40475-9326
Mailing address
134 Rose LN
Richmond, KY 40475-9646
Phone (859) 753-0259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244649 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.micromd.com/emr-software-cta/?dc=emr-software&utm_source=google&utm_medium=ppc&utm_campa | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 244649 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Counseling Center, LLC | Professional | Past | Accepting new patients |
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": "1575763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1992342083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ROSE LN",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404759646",
"telephone_number": "859-753-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 RED HOUSE RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404759326",
"telephone_number": "855-591-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANION",
"first_name": "SHANNAH",
"middle_name": "GARDINER",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-08",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "244649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244649",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.micromd.com/emr-software-cta/?dc=emr-software&utm_source=google&utm_medium=ppc&utm_campa",
"affiliation": "N",
"endpointDescription": "Electronic Health Record",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "916 Red House Rd",
"city": "Richmond",
"state": "KY",
"country_code": "US",
"postal_code": "404759326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.