Active NPIIndividual providerSole proprietor

Shannon Jean, LPC

Counselor, Mental Health in Rahway, New Jersey

NPI Number1164034401
Practice location
1819 Rutherford St, Rahway, NJ 07065-5217
Fax
—
Last updated
August 18, 2020

Shannon Jean is a Counselor, Mental Health based in Rahway, NJ. Shannon Jean practices in Rahway, NJ and has the professional credentials of LPC. The NPI Number for Shannon Jean is 1164034401 and holds a License No. 37PC00701200 (NJ). The current practice location address for Shannon Jean is 1819 Rutherford St, Rahway, NJ 07065-5217 and can be reached out via phone at 908-472-3917.

Provider Profile Details

NPI Number
1164034401
Provider Name
Shannon Jean
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1819 Rutherford St, Rahway, NJ 07065-5217
Phone Number
908-472-3917
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2020
Last Update Date
August 18, 2020
Certification Date
August 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1819 Rutherford St
Rahway, NJ 07065-5217
City
Rahway
Zip
07065-5217
Phone Number
908-472-3917
Rahway, NJ 07065Get directions →

Provider Business Mailing Address Details

Address
1819 Rutherford St
Rahway, NJ 07065-5217
City
Rahway
State
NJ
Zip
07065-5217
Phone Number
908-472-3917

License Information

Taxonomy (1)
Dance Therapist · 225600000X
License Number (2)
37PC00701200
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Jean, LPC?

The NPI number of Shannon Jean, LPC is 1164034401. It was assigned on August 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Shannon Jean, LPC?

Shannon Jean, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00701200.

Where does Shannon Jean, LPC practice?

The practice location is 1819 Rutherford St, Rahway, NJ 07065-5217. The office can be reached at 908-472-3917 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164034401 directly on the NPPES registry website.

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