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SHANNON TISSERA
NPI 1245016021
Counselor - Mental Health in Blandon, PA

Active since September 06, 2023
173 KENSINGTON BLVD, BLANDON, PA 19510(610) 698-6111 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Tissera NPPES

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

SHANNON TISSERA (NPI 1245016021) is an individual mental health provider in Blandon, Pennsylvania and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1245016021
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON TISSERA
Location Address173 KENSINGTON BLVDBlandon, PA 19510-9518
Mailing Address173 Kensington BlvdBlandon, PA 19510-9518 · (610) 698-6111
Phone(610) 698-6111
Sole ProprietorNo
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1245016021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
173 KENSINGTON BLVD, Blandon, PA 19510
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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 Tissera's NPI number?

The NPI number for Shannon Tissera is 1245016021. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Shannon Tissera located?

Shannon Tissera practices at 173 Kensington Blvd, Blandon, PA 19510. The listed phone number is (610) 698-6111.

What is Shannon Tissera'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 Tissera was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.