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

Shannon M Wise, MM, MS

Individual provider Mental Health Counselor · NPI 1942040506

Shannon M Wise, MM, MS is a Mental Health Counselor in Fairfax, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3925 Blenheim Blvd Ste 52B
Fairfax, VA 22030-2426
Phone: (571) 418-1714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4094 Majestic Ln # 237, Fairfax, VA 22033-2104 — (703) 335-6172

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0704016928 (VA)

Record details

NPI number1942040506
Entity typeIndividual (Type 1)
GenderFemale
Credentials MM , MS
Sole proprietorYes
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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