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

Shannon N Leary, LPC, NCC, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417203878

Shannon N Leary, LPC, NCC, CSAC is a Mental Health Counselor in Newport News, Virginia. Qualified in 2007, 19 years ago. Practices with Edward H Tiller PHD PC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

1 Old Oyster Point Rd Ste 250
Newport News, VA 23602-7121
Phone: (757) 969-6848
Fax: (757) 969-6849
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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 0701005299 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710102436 (VA)

Record details

NPI number1417203878
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC , CSAC
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESAugust 3, 2012

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Edward H Tiller Phd Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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