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SHANNON MARIE DIETRICH BA
NPI 1083708796
Counselor in Quincy, IL

Active since October 03, 2006
4409 MAINE, QUINCY, IL 62305(217) 223-0423(217) 223-0461 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Marie Dietrich Ba NPPES

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

SHANNON MARIE DIETRICH BA (NPI 1083708796) is an individual counselor in Quincy, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083708796
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON MARIE DIETRICHCredential: BA
Location Address4409 MAINEQuincy, IL 62305-3646
Mailing Address3107 Fox Run EastQuincy, IL 62301 · (217) 223-0413
Phone(217) 223-0423
Fax(217) 223-0461
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083708796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
4409 MAINE, Quincy, IL 62305
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Other Providers at the Same Location NPPES 7

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

JANIS LYNN FRAGEMAN BA
Counselor
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0423
ANDREA KAY SIMS BA
Counselor
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0423
JACKIE LYNN RALEIGH BA, MSW, QMHP
Counselor
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0423
MARK LEON SCHMITZ MSW, LCSW
Social Worker (Clinical)
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0423
JENNIFER LEEANN KELLY BA PSYCHOLOGY
Counselor
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0423
JESSICA LYNN PETERS LCSW
Social Worker (Clinical)
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0413
BETH ANN ALTMIX MHP, BS HUMAN SERVIC
Counselor
4409 MAINE
QUINCY, IL 62305
Adams County (217) 223-0423

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 Dietrich's NPI number?

The NPI number for Shannon Dietrich is 1083708796. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Shannon Dietrich located?

Shannon Dietrich practices at 4409 Maine, Quincy, IL 62305. The listed phone number is (217) 223-0423.

What is Shannon Dietrich'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 Dietrich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.