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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER LOUISE SHANNON MSW, LICSW
NPI 1528050812
Counselor - Mental Health in Provincetown, MA

Active since August 22, 2005
30 CONWELL ST, #1, PROVINCETOWN, MA 02657(508) 487-1192(508) 487-5813 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Louise Shannon Msw, Licsw NPPES

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

JENNIFER LOUISE SHANNON MSW, LICSW (NPI 1528050812) is an individual mental health provider in Provincetown, Massachusetts, licensed in Massachusetts (107036) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1528050812
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER LOUISE SHANNONCredential: MSW, LICSW
Location Address30 CONWELL ST, #1Provincetown, MA 02657-1548
Mailing AddressPo Box 2014Truro, MA 02666-2014 · (508) 487-1192 · Fax (508) 487-5813
Phone(508) 487-1192
Fax(508) 487-5813
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1528050812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 107036
30 CONWELL ST, Provincetown, MA 02657
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVINCETOWN PHYSICAL THERAPY
Physical Therapist
30 CONWELL ST, OFFICE #1
PROVINCETOWN, MA 02657
Barnstable County (774) 216-0834
CBMC COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
30 CONWELL ST
PROVINCETOWN, MA 02657
Barnstable County (551) 404-4180
WALTER JAMES HEALEY M.D.
Psychiatry & Neurology (Psychiatry)
30 CONWELL ST, GOSNOLD THORNE COUNSELING
PROVINCETOWN, MA 02657
Barnstable County (508) 487-2449
JONATHAN SCOTT RUNGE PSY.D.
Psychologist (Clinical)
30 CONWELL ST
PROVINCETOWN, MA 02657
Barnstable County (617) 901-1196
MS. CYNTHIA ANNE FRANCO MSPT
Physical Therapist
30 CONWELL ST, OFFICE #1
PROVINCETOWN, MA 02657
Barnstable County (774) 216-0834
DR. MATTHEW WILLIAM RUBLE M.D.
Psychiatry & Neurology (Psychiatry)
30 CONWELL ST
PROVINCETOWN, MA 02657
Barnstable County (508) 487-1459

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 Jennifer Shannon's NPI number?

The NPI number for Jennifer Shannon is 1528050812. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Jennifer Shannon located?

Jennifer Shannon practices at 30 Conwell St #1, Provincetown, MA 02657. The listed phone number is (508) 487-1192.

What is Jennifer Shannon'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 Jennifer Shannon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.