DR. SHANNON HEADLEY DO, LPC
NPI 1326484015
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Active since May 21, 2013PECOS Enrolled
1301 HODGES DR, TALLAHASSEE, FL 32308(504) 315-4308 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Sep 15, 2024, May 21, 2021 (3 updates tracked since 2021).

About Dr. Shannon Headley Do, Lpc NPPES

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

DR. SHANNON HEADLEY DO, LPC (NPI 1326484015) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326484015
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHANNON HEADLEYCredential: DO, LPC
Location Address1301 HODGES DRTallahassee, FL 32308-4614
Mailing Address1301 Hodges DrTallahassee, FL 32308-4614 · (850) 431-5430
Sole ProprietorYes
Enumeration DateMay 21, 2013
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1326484015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5650 (OK)
1301 HODGES DR, Tallahassee, FL 32308

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shannon Headley Do, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
1301 HODGES DR
TALLAHASSEE, FL 32308
Family Medicine
1301 HODGES DR
TALLAHASSEE, FL 32308
Family Medicine
1301 HODGES DR
TALLAHASSEE, FL 32308
Family Medicine
1301 HODGES DR
TALLAHASSEE, FL 32308
Family Medicine
1301 HODGES DR
TALLAHASSEE, FL 32308
Student in an Organized Health Care Education/Training Program
1301 HODGES DR
TALLAHASSEE, FL 32308
Family Medicine
1301 HODGES DR
TALLAHASSEE, FL 32308
Family Medicine
1301 HODGES DR
TALLAHASSEE, FL 32308

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 Headley's NPI number?

The NPI number for Shannon Headley is 1326484015. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Shannon Headley located?

Shannon Headley practices at 1301 Hodges Dr, Tallahassee, FL 32308. The listed phone number is (504) 315-4308.

What is Shannon Headley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Headley enrolled in Medicare?

Yes. Shannon Headley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Headley was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.