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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