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MRS. SHANNON JUNE TALLON MA
NPI 1235509555
Counselor - Mental Health in Poulsbo, WA

Active since September 29, 2015Opted out of Medicare · through Jan 1, 2028
19980 10TH AVE NE STE 204A, POULSBO, WA 98370(360) 621-4837 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, Mar 19, 2021, Feb 25, 2020 and 1 more (4 updates tracked since 2015).

About Mrs. Shannon June Tallon Ma NPPES

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

MRS. SHANNON JUNE TALLON MA (NPI 1235509555) is an individual mental health provider in Poulsbo, Washington, licensed in Washington (MC60757087) and active in the NPI registry since September 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1235509555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SHANNON JUNE TALLONCredential: MA
Location Address19980 10TH AVE NE STE 204APoulsbo, WA 98370-6430
Mailing Address19980 10th Ave Ne Ste 204aPoulsbo, WA 98370-6430 · (360) 621-4837
Phone(360) 621-4837
Sole ProprietorYes
Enumeration DateSeptember 29, 2015
Last NPPES UpdateMay 10, 20214 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1235509555 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 WA · MC60757087
Also ListedCounselorTaxonomy 101Y00000X
19980 10TH AVE NE STE 204A, Poulsbo, WA 98370
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Shannon June Tallon Ma 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Tallon's NPI number?

The NPI number for Shannon Tallon is 1235509555. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Shannon Tallon located?

Shannon Tallon practices at 19980 10th Ave NE Ste 204A, Poulsbo, WA 98370. The listed phone number is (360) 621-4837.

What is Shannon Tallon's specialty?

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

Is Shannon Tallon enrolled in Medicare?

No. Shannon Tallon has opted out of Medicare through January 1, 2028. 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 Tallon was last updated on May 10, 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.