SHANNON PURTELL LATTIMORE LPC SUPERVISOR
NPI 1932118742
Counselor - Mental Health in Dallas, TX
About Shannon Purtell Lattimore Lpc Supervisor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON PURTELL LATTIMORE LPC SUPERVISOR (NPI 1932118742) is an individual mental health provider in Dallas, Texas, licensed in Texas (17152) and active in the NPI registry since August 2006. She has opted out of Medicare through March 7, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shannon Purtell Lattimore Lpc Supervisor has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 7, 2024 through March 7, 2028.
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.
DALLAS, TX 75243
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 Lattimore's NPI number?
The NPI number for Shannon Lattimore is 1932118742. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Shannon Purtell.
Where is Shannon Lattimore located?
Shannon Lattimore practices at 9304 Forest Ln #100 South, Dallas, TX 75243. The listed phone number is (214) 340-0208.
What is Shannon Lattimore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shannon Lattimore enrolled in Medicare?
No. Shannon Lattimore has opted out of Medicare through March 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Shannon Lattimore accept?
Health plans from Providence Health Plan and WellPoint list Shannon Lattimore 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 Lattimore was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shannon Purtell Lattimore, LPC SUPERVISOR · NPI 1932118742
Mental Health provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1932118742 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 17152 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9304 FOREST LN, #100 SOUTH, Dallas, TX 75243-6238
- **Phone:** (214) 340-0208 · **Fax:** (214) 340-7092
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 7, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932118742) · Data from the CMS NPPES public registry.