1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Counselor
  6. NPI Profile

SHANNON LEE WYMAN KENEVAN
NPI 1194332718
Counselor - Professional in Green Bay, WI

Active since September 28, 2020
123 N OAKLAND AVE, GREEN BAY, WI 54303(920) 770-4088(651) 705-0026 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Lee Wyman Kenevan NPPES

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

SHANNON LEE WYMAN KENEVAN (NPI 1194332718) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (2674) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1194332718
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON LEE WYMAN KENEVAN
Location Address123 N OAKLAND AVEGreen Bay, WI 54303-2831
Mailing Address123 N Oakland AveGreen Bay, WI 54303-2831 · (920) 770-4088 · Fax (651) 705-0026
Phone(920) 770-4088
Fax(651) 705-0026
Sole ProprietorYes
Enumeration DateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1194332718 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 WI · 2674
123 N OAKLAND AVE, Green Bay, WI 54303
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Network Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

LOUISE CLARA DAUL MS, LPC
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
KABLIA YANG
Counselor (Mental Health)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
VANESSA BLANCHETTE LCSW
Social Worker (Clinical)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
POWER FOR CHANGE, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
LEXANA RUTZ LPC-IT
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
RACHELE WATKINS APSW
Social Worker
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
ALISHA PETROUSKE
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
MR. STEVE A SHEFCHIK MA, LPC
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088

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 Kenevan's NPI number?

The NPI number for Shannon Kenevan is 1194332718. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Shannon Kenevan located?

Shannon Kenevan practices at 123 N Oakland Ave, Green Bay, WI 54303. The listed phone number is (920) 770-4088.

What is Shannon Kenevan's specialty?

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

What insurance does Shannon Kenevan accept?

Health plans from HealthPartners, Medica, Network Health, Quartz and UnitedHealthcare list Shannon Kenevan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Kenevan was last updated on September 28, 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.