MR. COLTON SHANNON LPC-MHSP
NPI 1104474600
Counselor - Mental Health in Jackson, TN

Q: What is Colton Shannon's NPI number?

The NPI number for Colton Shannon is 1104474600. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Q: What is Colton Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Colton Shannon was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 28, 2019

708 N HIGHLAND AVE, JACKSON, TN 38301(731) 277-7778 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Colton Shannon Lpc-mhsp NPPES

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

MR. COLTON SHANNON LPC-MHSP (NPI 1104474600) is an individual mental health provider in Jackson, Tennessee, licensed in Tennessee (4374) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1104474600

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. COLTON SHANNONCredential: LPC-MHSP

Location Address708 N HIGHLAND AVEJackson, TN 38301-4829

Mailing Address708 N Highland AveJackson, TN 38301-4829 · (731) 277-7778

Phone(731) 277-7778

Sole ProprietorYes

Enumeration DateAugust 28, 2019

✔ NPI 1104474600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TN · 4374

708 N HIGHLAND AVE, Jackson, TN 38301

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DALTON GLENN WEAVER

Physician Assistant

708 N HIGHLAND AVE
JACKSON, TN 38301

Madison County (731) 394-0071

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 Colton Shannon's NPI number?

The NPI number for Colton Shannon is 1104474600. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Colton Shannon located?

Colton Shannon practices at 708 N Highland Ave, Jackson, TN 38301. The listed phone number is (731) 277-7778.

What is Colton Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Colton Shannon was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.