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PARKER SHANNON
NPI 1477330579
Counselor - Professional in Scranton, PA

Active since September 12, 2023PECOS Enrolled
300 MULBERRY ST STE 201, SCRANTON, PA 18503(570) 955-5479 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Parker Shannon NPPES

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

PARKER SHANNON (NPI 1477330579) is an individual professional provider in Scranton, Pennsylvania, licensed in Pennsylvania (PC019369) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477330579
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePARKER SHANNON
Location Address300 MULBERRY ST STE 201Scranton, PA 18503-1233
Mailing Address300 Mulberry St Ste 201Scranton, PA 18503-1233 · (570) 955-5479
Phone(570) 955-5479
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 12, 2023
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1477330579 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 PA · PC019369
300 MULBERRY ST STE 201, Scranton, PA 18503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parker Shannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890284434
PECOS Enrollment IDI20251103000170
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.

MRS. MINDY A WHITE MS
Counselor (Professional)
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-6479
JENNIFER MUDGE MSW, LSW
Social Worker
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5479
MRS. EBONY WEAVER MS, NCC, LPC
Counselor (Professional)
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5549
MAURA ANDREWS
Counselor (Professional)
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5479
EMPOWERED RESILIENCE
Counselor (Mental Health)
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5479
INTEGRATIVE MIND AND BODY SERVICES
Psychologist
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5479
JENNIFER WASCURA
Social Worker (Clinical)
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5479
AMANDA M CROWLEY MS, NCC
Counselor (Mental Health)
300 MULBERRY ST STE 201
SCRANTON, PA 18503
Lackawanna County (570) 955-5479

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 Parker Shannon's NPI number?

The NPI number for Parker Shannon is 1477330579. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Parker Shannon located?

Parker Shannon practices at 300 Mulberry St Ste 201, Scranton, PA 18503. The listed phone number is (570) 955-5479.

What is Parker Shannon's specialty?

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

Is Parker Shannon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Parker Shannon was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.