JEREMY SHANNON NPI 1790657070

NPI Information

  • NPI: 1790657070
  • Provider Name: JEREMY SHANNON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 149 W HELENA DR
    PHOENIX, AZ
    ZIP 85023
  • Phone: (425) 736-2327

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NPI Details

Jeremy Shannon is a mental health counselor in Phoenix, AZ. Jeremy Shannon NPI is 1790657070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

149 W HELENA DR
PHOENIX, AZ
ZIP 85023-558
Phone: (425) 736-2327

The enumeration date for this NPI number is 9/18/2025 and was last updated on 9/18/2025.

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
1101YM0800XCounselorMental HealthLAC-22770ARIZONAYes

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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