1. Home
  2. Directory
  3. Illinois
  4. Centralia
  5. Counselor
  6. NPI Profile

SHANNON HARRIS
NPI 1588248694
Counselor in Centralia, IL

Active since May 06, 2021
904 M L KING DR, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Harris NPPES

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

SHANNON HARRIS (NPI 1588248694) is an individual counselor in Centralia, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1588248694
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON HARRIS
Location Address904 M L KING DRCentralia, IL 62801-3058
Mailing Address904 M L King DrCentralia, IL 62801-3058 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Sole ProprietorNo
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1588248694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
904 M L KING DR, Centralia, IL 62801
Open in Google Maps ↗

Other Identifiers 1

Medicaid370915481007IL

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.

ANDREA SLATER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
STEFFANY SLININGER
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
ASPIN WALTA
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. CARLIE MICHELLE KASTEN
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
XZAVIER DENTON
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
BROOKE DUNN
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
DAKOTA HUNTER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MALLORY OWENS MSW
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Harris's NPI number?

The NPI number for Shannon Harris is 1588248694. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Shannon Harris located?

Shannon Harris practices at 904 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Shannon Harris's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Harris was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.