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SHANNON HALLSTROM LPC
NPI 1003746801
Counselor in Mesa, AZ

Active since May 22, 2026
9025 E VINE AVE, MESA, AZ 85208(480) 380-3868 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Hallstrom Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON HALLSTROM LPC (NPI 1003746801) is an individual counselor in Mesa, Arizona, licensed in Idaho (1281717) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1003746801
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON HALLSTROMCredential: LPC
Location Address9025 E VINE AVEMesa, AZ 85208-2346
Mailing Address9025 E Vine AveMesa, AZ 85208-2346 · (480) 380-3868
Phone(480) 380-3868
Sole ProprietorYes
Enumeration DateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1003746801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · 1281717
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
9025 E VINE AVE, Mesa, AZ 85208
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Hallstrom's NPI number?

The NPI number for Shannon Hallstrom is 1003746801. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Shannon Hallstrom located?

Shannon Hallstrom practices at 9025 E Vine Ave, Mesa, AZ 85208. The listed phone number is (480) 380-3868.

What is Shannon Hallstrom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shannon Hallstrom was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.