MRS. SHANNON MOORE JOHNSON LISAC, BA
NPI 1568550077
Counselor - Addiction (Substance Use Disorder) in Parker, AZ

Q: What is Shannon Johnson's NPI number?

The NPI number for Shannon Johnson is 1568550077. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 10, 2006

12033 AGENCY RD STE 730, PARKER, AZ 85344(928) 669-3256(928) 669-3252 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Shannon Moore Johnson Lisac, Ba NPPES

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

MRS. SHANNON MOORE JOHNSON LISAC, BA (NPI 1568550077) is an individual addiction (substance use disorder) provider in Parker, Arizona, licensed in (LISAC0725) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1568550077

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. SHANNON MOORE JOHNSONCredential: LISAC, BA

Location Address12033 AGENCY RD STE 730Parker, AZ 85344-7718

Mailing Address12033 Agency Rd Ste 730Parker, AZ 85344-7718 · (928) 669-3256 · Fax (928) 669-3252

Phone(928) 669-3256

Fax(928) 669-3252

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateApril 24, 2013

✔ NPI 1568550077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed · LISAC0725

12033 AGENCY RD STE 730, Parker, AZ 85344

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Other Identifiers 1

Other893885AZ · Ahcccs

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 Johnson's NPI number?

The NPI number for Shannon Johnson is 1568550077. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Shannon Johnson located?

Shannon Johnson practices at 12033 Agency Rd Ste 730, Parker, AZ 85344. The listed phone number is (928) 669-3256.

What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.