PAULA SHANNON LCPC LMFT LCADC NPI 1275937252

NPI Information

NPI: 1275937252
Provider Name: PAULA SHANNON, LCPC, LMFT, LCADC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
PECOS Registration: Yes
Address: 5510 S. FT. APACHE RD
#220
LAS VEGAS, NV
ZIP 89148
Phone: (702) 858-6455

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NPI Details

Paula Shannon, LCPC, LMFT, LCADC is a mental health counselor in Las Vegas, NV. Paula Shannon, LCPC, LMFT, LCADC NPI is 1275937252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5510 S. FT. APACHE RD
#220
LAS VEGAS, NV
ZIP 89148
Phone: (702) 858-6455
Fax: (702) 442-9615

The NPI 1275937252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 7/2/2025.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	00553-LC	NEVADA	No
2	101YM0800X	Counselor	Mental Health	P2306014	ARKANSAS	No
3	101YP2500X	Counselor	Professional	CP1217	NEVADA	No
4	106H00000X	Marriage & Family Therapist		MI0880	NEVADA	No
5	106H00000X	Marriage & Family Therapist		3059	NEVADA	No
6	106H00000X	Marriage & Family Therapist		M2312001	ARKANSAS	No
7	101YM0800X	Counselor	Mental Health	CP1217	NEVADA	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
1	330740719	MEDICAID	ARKANSAS
2	71853	MEDICAID	NEVADA
3	250004786	MEDICAID	NEVADA

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: 11/21/2025

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