DR. SHANNON ELYSE STOVALL LPC, PSYD
NPI 1861705188
Psychologist in Fremont, CA

Active since July 15, 2010PECOS Enrolled
39159 PASEO PADRE PKWY STE 121, FREMONT, CA 94538(510) 952-1190 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Jan 3, 2022 (2 updates tracked since 2022).

About Dr. Shannon Elyse Stovall Lpc, Psyd NPPES

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

DR. SHANNON ELYSE STOVALL LPC, PSYD (NPI 1861705188) is an individual psychologist in Fremont, California, licensed in California (26755) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861705188
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHANNON ELYSE STOVALLCredential: LPC, PSYD
Location Address39159 PASEO PADRE PKWY STE 121Fremont, CA 94538-1600
Mailing Address39159 Paseo Padre Pkwy Ste 121Fremont, CA 94538-1600 · (210) 542-4616
Sole ProprietorNo
Enumeration DateJuly 15, 2010
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
NPI 1861705188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 26755
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 64885 (TX)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 26755 (CA)
39159 PASEO PADRE PKWY STE 121, Fremont, CA 94538

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shannon Elyse Stovall Lpc, Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Counselor (Mental Health)
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Social Worker (Clinical)
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Social Worker
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538

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 Stovall's NPI number?

The NPI number for Shannon Stovall is 1861705188. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Shannon Stovall located?

Shannon Stovall practices at 39159 Paseo Padre Pkwy Ste 121, Fremont, CA 94538. The listed phone number is (510) 952-1190.

What is Shannon Stovall's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shannon Stovall enrolled in Medicare?

Yes. Shannon Stovall is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Stovall accept?

Health plans from Providence Health Plan list Shannon Stovall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Stovall was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.