SHANNON L MARTIN LPC LIC # 2018028478 NPI 1144803420

NPI Information

NPI: 1144803420
Provider Name: SHANNON L MARTIN, LPC LIC # 2018028478
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1000 HOSPITAL RD
WAYNESVILLE, MO
ZIP 65583
Phone: (573) 774-5353
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Shannon L Martin, LPC LIC # 2018028478 is a professional counselor in Waynesville, MO. Shannon L Martin, LPC LIC # 2018028478 NPI is 1144803420. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 HOSPITAL RD
WAYNESVILLE, MO
ZIP 65583-634
Phone: (573) 774-5353
Fax: (573) 774-2907

The enumeration date for this NPI number is 5/4/2021 and was last updated on 5/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2018028478	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1174662720	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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