Active NPIIndividual provider

Shannon Theobald, LPC

Counselor, Professional in Parsippany, New Jersey

NPI Number1669146205
Practice location
181 New RD Ste 304, Parsippany, NJ 07054-5625
Fax
—
Last updated
October 18, 2022

Shannon Theobald is a Counselor, Professional based in Parsippany, NJ. Shannon Theobald practices in Parsippany, NJ and has the professional credentials of LPC. The NPI Number for Shannon Theobald is 1669146205 and holds a License No. 37PC00896500 (NJ). The current practice location address for Shannon Theobald is 181 New RD Ste 304, Parsippany, NJ 07054-5625 and can be reached out via phone at 201-389-9308.

Provider Profile Details

NPI Number
1669146205
Provider Name
Shannon Theobald
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
181 New RD Ste 304, Parsippany, NJ 07054-5625
Phone Number
201-389-9308
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2021
Last Update Date
October 18, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 New RD Ste 304
Parsippany, NJ 07054-5625
Zip
07054-5625
Phone Number
201-389-9308
Parsippany, NJ 07054Get directions →

Provider Business Mailing Address Details

Address
151 Lake Ave
Boonton, NJ 07005-1135
City
Boonton
State
NJ
Zip
07005-1135
Phone Number
201-407-7047

License Information

License Number
37PC00896500
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · 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 Theobald, LPC?

The NPI number of Shannon Theobald, LPC is 1669146205. It was assigned on August 6, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon Theobald, LPC?

Shannon Theobald, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00896500.

Where does Shannon Theobald, LPC practice?

The practice location is 181 New RD Ste 304, Parsippany, NJ 07054-5625. The office can be reached at 201-389-9308 (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 1669146205 directly on the NPPES registry website.

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