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KEVIN SHANNON
NPI 1013698422
Peer Specialist in Southgate, MI

Active since July 27, 2023
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700(734) 287-1953 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Shannon NPPES

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

KEVIN SHANNON (NPI 1013698422) is an individual peer specialist in Southgate, Michigan and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1013698422
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEVIN SHANNON
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address2956 Saint Paul StTrenton, MI 48183-3603 · (313) 139-4687
Phone(734) 785-7700
Fax(734) 287-1953
Sole ProprietorNo
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 27, 2023
✔ NPI 1013698422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

13101 ALLEN RD, Southgate, MI 48195
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

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 Kevin Shannon's NPI number?

The NPI number for Kevin Shannon is 1013698422. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Kevin Shannon located?

Kevin Shannon practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Kevin Shannon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kevin Shannon was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.