SHANNON MARIE PENA MS, CRC. LPCA
NPI 1861860389
Counselor - Professional in Winston Salem, NC

Active since September 15, 2015
3410 HEALY DR STE 203, WINSTON SALEM, NC 27103(336) 774-0006(336) 774-0007 Get Directions Write a Review

NPPES record last updated: October 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Marie Pena Ms, Crc. Lpca NPPES

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

SHANNON MARIE PENA MS, CRC. LPCA (NPI 1861860389) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (A10731) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1861860389
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON MARIE PENACredential: MS, CRC. LPCA
Location Address3410 HEALY DR STE 203Winston Salem, NC 27103-1568
Mailing Address3410 Healy Dr Ste 203Winston Salem, NC 27103-1568 · (336) 207-6139
Fax(336) 774-0007
Sole ProprietorYes
Enumeration DateSeptember 15, 2015
Last NPPES UpdateOctober 25, 2015
NPI 1861860389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · A10731
3410 HEALY DR STE 203, Winston Salem, NC 27103

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
3410 HEALY DR STE 203
WINSTON SALEM, NC 27103

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 Pena's NPI number?

The NPI number for Shannon Pena is 1861860389. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Shannon Pena located?

Shannon Pena practices at 3410 Healy Dr Ste 203, Winston Salem, NC 27103. The listed phone number is (336) 774-0006.

What is Shannon Pena's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shannon Pena was last updated on October 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.