SHANNON SMITH
NPI 1184502312
Counselor in Medford, MA

Active since August 25, 2025

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Smith NPPES

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

SHANNON SMITH (NPI 1184502312) is an individual counselor in Medford, Massachusetts and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1184502312
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON SMITH
Location Address42 HIGH STMedford, MA 02155-3863
Mailing Address15 N Beacon St Apt 215Allston, MA 02134-1937
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1184502312 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.
42 HIGH ST, Medford, MA 02155

Other Providers at the Same Location NPPES 15

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

Counselor
42 HIGH ST
MEDFORD, MA 02155
Counselor (Mental Health)
42 HIGH ST
MEDFORD, MA 02155
Counselor
42 HIGH ST
MEDFORD, MA 02155
Counselor (Mental Health)
42 HIGH ST
MEDFORD, MA 02155
Counselor (Mental Health)
42 HIGH ST
MEDFORD, MA 02155
Counselor (Mental Health)
42 HIGH ST
MEDFORD, MA 02155
Counselor (Mental Health)
42 HIGH ST
MEDFORD, MA 02155
Counselor (Mental Health)
42 HIGH ST
MEDFORD, MA 02155

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 Smith's NPI number?

The NPI number for Shannon Smith is 1184502312. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Shannon Smith located?

Shannon Smith practices at 42 High St, Medford, MA 02155. The listed phone number is (781) 395-0828.

What is Shannon Smith'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 Smith was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.