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

MS. Shannon Gholston, CPC-I

Individual provider Mental Health Counselor · NPI 1770320947

MS. Shannon Gholston, CPC-I is a Mental Health Counselor in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2024

Practice location Address checks out

9330 Aventurine Ct
Las Vegas, NV 89148-3885
Phone: (770) 670-0502
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 CI5424 (NV)

Record details

NPI number1770320947
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPC-I
Sole proprietorYes
NPI enumeratedJuly 13, 2024
Last updated in NPPESAugust 25, 2024
Certification dateAugust 25, 2024

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