MRS. SHANNON MICHELLE MINNICK M.A.
NPI 1053520882
Counselor - Professional in Bethlehem, PA

Active since May 21, 2007
1620 BROADWAY, BETHLEHEM, PA 18015(610) 799-8600 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shannon Michelle Minnick M.a. NPPES

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

MRS. SHANNON MICHELLE MINNICK M.A. (NPI 1053520882) is an individual professional provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (PC009484) and active in the NPI registry since May 2007. She maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1053520882
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNON MICHELLE MINNICKCredential: M.A.
Location Address1620 BROADWAYBethlehem, PA 18015-3904
Mailing Address510 E Emmaus AveAllentown, PA 18103-5918 · (610) 737-3680
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 6, 2019
NPI 1053520882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC009484
1620 BROADWAY, Bethlehem, PA 18015

Other Names 1

Former Name (1)Shannon Michelle Hall Lpc

Secondary Practice Location 1

Location 1402 N Fulton StAllentown, PA 18102-2002 · Phone (610) 432-9169

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.

Social Worker
1620 BROADWAY
BETHLEHEM, PA 18015
Clinic/Center (Adolescent and Children Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Nurse Practitioner (Psychiatric/Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015

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 Minnick's NPI number?

The NPI number for Shannon Minnick is 1053520882. It was assigned to this individual provider in the NPPES registry on May 21, 2007. The provider is also known as Shannon Michelle Hall Lpc.

Where is Shannon Minnick located?

Shannon Minnick practices at 1620 Broadway, Bethlehem, PA 18015. The listed phone number is (610) 799-8600.

What is Shannon Minnick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shannon Minnick was last updated on February 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.