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MS. SHANNON B DAVENPORT LPC
NPI 1417692039
Counselor in Anderson, SC

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
1201 N FANT ST, ANDERSON, SC 29621(864) 353-3384 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 24, 2025, Apr 28, 2022 (2 updates tracked since 2022).

About Ms. Shannon B Davenport Lpc NPPES

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

MS. SHANNON B DAVENPORT LPC (NPI 1417692039) is an individual counselor in Anderson, South Carolina, licensed in South Carolina (10748) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417692039
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. SHANNON B DAVENPORTCredential: LPC
Location Address1201 N FANT STAnderson, SC 29621-4821
Mailing Address6 Academy DrWilliamston, SC 29697-2110 · (864) 940-2671
Phone(864) 353-3384
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 28, 2022
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1417692039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in SC · 10748
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.
1201 N FANT ST, Anderson, SC 29621
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Secondary Practice Location 1

Location 116 Mills Ave Ste 8Greenville, SC 29605-4065 · Phone (864) 775-5509

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shannon B Davenport Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729505292
PECOS Enrollment IDI20250508000143
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.

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 Davenport's NPI number?

The NPI number for Shannon Davenport is 1417692039. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Shannon Davenport located?

Shannon Davenport practices at 1201 N Fant St, Anderson, SC 29621. The listed phone number is (864) 353-3384.

What is Shannon Davenport's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shannon Davenport enrolled in Medicare?

Yes. Shannon Davenport is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Davenport accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Shannon Davenport 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 Davenport was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.