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

Sandra Shannon

Individual provider Professional Counselor · NPI 1881332666

Sandra Shannon is a Mental Health Counselor in Winchester, Kentucky. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022

Practice location Address checks out

7 Waveland Ave
Winchester, KY 40391-1231
Phone: (859) 385-4669
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 307154 (KY)

Record details

NPI number1881332666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address1801 Watermark Dr, Columbus, OH 43215-7088

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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