Active NPIIndividual provider

Shannon Nelson

Counselor, Professional in Oxford, Connecticut

NPI Number1912679481
Practice location
162 Meadow Brook RD, Oxford, CT 06478-4902
Fax
—
Last updated
July 25, 2024

Shannon Nelson is a Counselor, Professional based in Oxford, CT. Shannon Nelson practices in Oxford, CT. The NPI Number for Shannon Nelson is 1912679481 and holds a License No. 5124 (CT). The current practice location address for Shannon Nelson is 162 Meadow Brook RD, Oxford, CT 06478-4902 and can be reached out via phone at 203-527-2066.

Provider Profile Details

NPI Number
1912679481
Provider Name
Shannon Nelson
Provider Entity Type
Individual
Gender
Female
Address
162 Meadow Brook RD, Oxford, CT 06478-4902
Phone Number
203-527-2066
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2021
Last Update Date
July 25, 2024
Certification Date
July 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 Meadow Brook RD
Oxford, CT 06478-4902
City
Oxford
Zip
06478-4902
Phone Number
203-527-2066
Oxford, CT 06478Get directions →

Provider Business Mailing Address Details

Address
103 Burnt Plains RD
Milford, CT 06461-2150
City
Milford
State
CT
Zip
06461-2150
Phone Number
203-232-8811

License Information

License Number
5124
License State
CT
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 Nelson?

The NPI number of Shannon Nelson is 1912679481. It was assigned on October 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon Nelson?

Shannon Nelson is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5124.

Where does Shannon Nelson practice?

The practice location is 162 Meadow Brook RD, Oxford, CT 06478-4902. The office can be reached at 203-527-2066 (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 1912679481 directly on the NPPES registry website.

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