Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Shannon

Individual provider Mental Health Counselor · NPI 1790657070

Jeremy Shannon is a Mental Health Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

149 W Helena Dr
Phoenix, AZ 85023-6558
Phone: (425) 736-2327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-22770 (AZ)

Record details

NPI number1790657070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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