SHANNON M WISE MM, MS
NPI 1942040506
Counselor - Mental Health in Fairfax, VA
About Shannon M Wise Mm, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON M WISE MM, MS (NPI 1942040506) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0704016928) and active in the NPI registry since May 2024. She maintains a secondary practice location in Fairfax.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22030
FAIRFAX, VA 22030
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 Wise's NPI number?
The NPI number for Shannon Wise is 1942040506. It was assigned to this individual provider in the NPPES registry on May 30, 2024.
Where is Shannon Wise located?
Shannon Wise practices at 3925 Blenheim Blvd Ste 52B, Fairfax, VA 22030. The listed phone number is (571) 418-1714.
What is Shannon Wise's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Shannon Wise was last updated on May 30, 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.