Active NPI
Shannon Thomas
- Professional Counselor
- Plantsville, CT
National Provider Identifier
1992482574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6326
- Practice address
- 966 S Main St
Plantsville, CT 06479-1645 - Phone
- (860) 863-1001
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | C032022002260 | CT | |
| Professional Counselor | 101YP2500X | 6326 | CT | Primary |
Addresses
Primary practice location
966 S Main St
Plantsville, CT 06479-1645
Mailing address
16A Johnson Ave
Plainville, CT 06062-1116
Phone (203) 578-5978
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 |
|---|---|---|---|
| C032022002260 | CT | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1992482574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16A JOHNSON AVE",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621116",
"telephone_number": "203-578-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 S MAIN ST",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791645",
"telephone_number": "860-863-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CT",
"license": "C032022002260",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "6326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantsville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.