MS. SHANNON LEIGH KNOWLTON L.P.C.
NPI 1164729554
Counselor - Professional in Virginia Beach, VA

Active since February 21, 2011Opted out of Medicare · through Nov 13, 2026
512 S LYNNHAVEN RD STE 101, VIRGINIA BEACH, VA 23452(757) 306-4232(757) 306-4235 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shannon Leigh Knowlton L.p.c. NPPES

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

MS. SHANNON LEIGH KNOWLTON L.P.C. (NPI 1164729554) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701004998) and active in the NPI registry since February 2011. She has opted out of Medicare through November 13, 2026 and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1164729554
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SHANNON LEIGH KNOWLTONCredential: L.P.C.
Location Address512 S LYNNHAVEN RD STE 101Virginia Beach, VA 23452-6664
Mailing Address512 S Lynnhaven Rd Ste 101Virginia Beach, VA 23452-6664 · (757) 306-4232 · Fax (757) 306-4235
Fax(757) 306-4235
Sole ProprietorYes
Enumeration DateFebruary 21, 2011
Last NPPES UpdateJune 4, 2021
NPPES CertifiedJune 4, 2021
NPI 1164729554 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 VA · 0701004998
512 S LYNNHAVEN RD STE 101, Virginia Beach, VA 23452

Secondary Practice Location 1

Location 1281 Independence Blvd, Suite 326Virginia Beach, VA 23462-2986 · Phone (757) 490-0377 ext. 342 · Fax (757) 497-1327

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Shannon Leigh Knowlton L.p.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2024 through November 13, 2026.

Opt-Out Effective DateNovember 13, 2024
Opt-Out In Effect ThroughNovember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Counselor (Professional)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Counselor (Professional)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Counselor
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Social Worker (Clinical)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Social Worker (Clinical)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Counselor (Professional)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452
Counselor (Mental Health)
512 S LYNNHAVEN RD STE 101
VIRGINIA BEACH, VA 23452

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 Knowlton's NPI number?

The NPI number for Shannon Knowlton is 1164729554. It was assigned to this individual provider in the NPPES registry on February 21, 2011.

Where is Shannon Knowlton located?

Shannon Knowlton practices at 512 S Lynnhaven Rd Ste 101, Virginia Beach, VA 23452. The listed phone number is (757) 306-4232.

What is Shannon Knowlton's specialty?

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

Is Shannon Knowlton enrolled in Medicare?

No. Shannon Knowlton has opted out of Medicare through November 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Knowlton was last updated on June 4, 2021. 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.