SHANNON JEAN LPC
NPI 1164034401
Counselor - Mental Health in Rahway, NJ

Active since August 18, 2020
1819 RUTHERFORD ST, RAHWAY, NJ 07065(908) 472-3917 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Jean Lpc NPPES

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

SHANNON JEAN LPC (NPI 1164034401) is an individual mental health provider in Rahway, New Jersey, licensed in New Jersey (37PC00701200) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1164034401
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON JEANCredential: LPC
Location Address1819 RUTHERFORD STRahway, NJ 07065-5217
Mailing Address1819 Rutherford StRahway, NJ 07065-5217 · (908) 472-3917
Sole ProprietorYes
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1164034401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NJ · 37PC00701200
Also ListedDance TherapistTaxonomy 225600000X
1819 RUTHERFORD ST, Rahway, NJ 07065

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
1819 RUTHERFORD ST
RAHWAY, NJ 07065

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 Jean's NPI number?

The NPI number for Shannon Jean is 1164034401. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Shannon Jean located?

Shannon Jean practices at 1819 Rutherford St, Rahway, NJ 07065. The listed phone number is (908) 472-3917.

What is Shannon Jean'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 Shannon Jean was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.