Katie Lynn Shannon, LCAT, LCPC, LPC is a
Art Therapist based in Rochester, New York. Katie Lynn Shannon is licensed to practice in New York (license number 002452) and her current practice location is
919 Winton Rd S Ste 316, Rochester, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 681-7958.
NPI number for Katie Lynn Shannon is 1780286088 and her current mailing address is 6 Lombard St Apt 1, South Portland, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780286088.
Healthcare Provider's Profile
Full Name | Katie Lynn Shannon |
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Gender | Female |
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Speciality | Art Therapist |
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Location | 919 Winton Rd S Ste 316, Rochester, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780286088
- Provider Enumeration Date: 11/11/2020
- Last Update Date: 02/13/2023
Medical Identifiers
Medical identifiers for Katie Lynn Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780286088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC.0016675 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | CC6353 (Maine) | Secondary |
221700000X | Art Therapist | 002452 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Lynn Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katie Lynn Shannon, LCAT, LCPC, LPC 6 Lombard St Apt 1, South Portland, ME 04106-5703 Ph: (315) 681-7958 | Katie Lynn Shannon, LCAT, LCPC, LPC 919 Winton Rd S Ste 316, Rochester, NY 14618-1633 Ph: (315) 681-7958 |
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