SHANNON KILLPACK LAC
NPI 1578378154
Counselor - Mental Health in Phoenix, AZ

Q: What is Shannon Killpack's NPI number?

The NPI number for Shannon Killpack is 1578378154. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Q: What is Shannon Killpack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Killpack was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 11, 2025

4641 N 12TH ST, PHOENIX, AZ 85014(505) 681-9581 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Killpack Lac NPPES

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

SHANNON KILLPACK LAC (NPI 1578378154) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-21924) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1578378154

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHANNON KILLPACKCredential: LAC

Location Address4641 N 12TH STPhoenix, AZ 85014-4095

Mailing Address4535 N 129th DrLitchfield Park, AZ 85340-5126 · (505) 681-9581

Phone(505) 681-9581

Sole ProprietorNo

Enumeration DateFebruary 11, 2025

NPPES CertifiedFebruary 10, 2025

✔ NPI 1578378154 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 AZ · LAC-21924

4641 N 12TH ST, Phoenix, AZ 85014

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Other Providers at the Same Location NPPES 3

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

CREATIVE CONTINUUM THERAPY LLC

Counselor (Mental Health)

4641 N 12TH ST
PHOENIX, AZ 85014

Maricopa County (480) 442-0325

PAIGE RAMOS LMFT

Marriage & Family Therapist

4641 N 12TH ST
PHOENIX, AZ 85014

Maricopa County (480) 526-4427

JUANRI CHIQUITA TYLER COTA/L

Occupational Therapy Assistant

4641 N 12TH ST
PHOENIX, AZ 85014

Maricopa County (480) 855-0474

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 Killpack's NPI number?

The NPI number for Shannon Killpack is 1578378154. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Shannon Killpack located?

Shannon Killpack practices at 4641 N 12th St, Phoenix, AZ 85014. The listed phone number is (505) 681-9581.

What is Shannon Killpack'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 Shannon Killpack was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.