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

Parker Shannon

Individual provider Professional Counselor · NPI 1477330579

Parker Shannon is a Mental Health Counselor in Scranton, Pennsylvania. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023

Practice location Address checks out

300 Mulberry St Ste 201
Scranton, PA 18503-1233
Phone: (570) 955-5479
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC019369 (PA)

Record details

NPI number1477330579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address300 Mulberry St Ste 201, Scranton, PA 18503-1233

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Scranton