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

Mrs. Shannon Nicole Ellison

Individual provider Professional Counselor · NPI 1437572146

Mrs. Shannon Nicole Ellison is a Mental Health Counselor in Louisville, Kentucky. Qualified in 2006, 20 years ago. Practices with Talkspace Provider Network PA, a 256-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2014
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Practice location Address checks out

3121 Brooklawn Campus Dr
Louisville, KY 40218-1282
Phone: (502) 451-5177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence KY-1355 (KY)

Record details

NPI number1437572146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 31, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Talkspace Provider Network Pa — 256 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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