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

Katherine Shannon

Individual provider Counseling Psychologist · NPI 1922630789

Katherine Shannon is a Counseling Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 365-8920
Fax: (616) 365-8971
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6301017825 (MI)

Record details

NPI number1922630789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

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