MR. R. TIMOTHY SHANNON LLPC
NPI 1609055714
Counselor - Addiction (Substance Use Disorder) in Ypsilanti, MI

Active since October 25, 2007
1012 W CROSS ST, YPSILANTI, MI 48197(734) 649-9989 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. R. Timothy Shannon Llpc NPPES

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

MR. R. TIMOTHY SHANNON LLPC (NPI 1609055714) is an individual addiction (substance use disorder) provider in Ypsilanti, Michigan, licensed in Michigan (6401010082) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1609055714
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. R. TIMOTHY SHANNONCredential: LLPC
Location Address1012 W CROSS STYpsilanti, MI 48197-2103
Mailing Address1012 W Cross StYpsilanti, MI 48197-2103 · (734) 649-9989
Sole ProprietorNo
Enumeration DateOctober 25, 2007
NPI 1609055714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MI · 6401010082
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
1012 W CROSS ST, Ypsilanti, MI 48197

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
1012 W CROSS ST
YPSILANTI, MI 48197

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 R. Shannon's NPI number?

The NPI number for R. Shannon is 1609055714. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is R. Shannon located?

R. Shannon practices at 1012 W Cross St, Ypsilanti, MI 48197. The listed phone number is (734) 649-9989.

What is R. Shannon'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 R. Shannon was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.