Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891054961 Individual Practitioner Male Practitioner

Marvin Boyd Shannon , LPC

Counselor - Professional • Grapevine, TX

Professional Overview & Biography Verified Profile Summary

Marvin Shannon, LPC is a registered healthcare professional specializing in Counselor - Professional in Grapevine, TX. Practice services are available at 400 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N Main St
Suite 104

Grapevine, TX 760513300

Telephone 8173602300
Associated Practice Facility / Clinic
🏢 Prime Behavioral Health, Inc Facility NPI 1548670672

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Grapevine, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Grapevine, TX (21203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 64099

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Brian Rees , PhD

Counselor - Mental Health

NPI 1063671048

Doctor of Philosophy (Ph.D.)

NPI 1194746693

Doctor of Philosophy (Ph.D.)

Peter Kahle , PSYCHOLOGIST

Psychologist - Counseling

NPI 1558733287

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2012

Registered at 400 N MAIN ST, SUITE 104, GRAPEVINE, TX 760513300 (Tel: 8173602300)

📍
Updated Business Mailing Address May 10, 2012

Registered at 400 N MAIN ST, SUITE 104, GRAPEVINE, TX 760513300 (Tel: 8173602300)

👤
Provider Name / Credentials Updated May 10, 2012

Recorded as MARVIN SHANNON, L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2012

Counselor (License #64099 in TX)

🟢
Initial NPI Registration & Enumeration May 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891054961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2012
Last Update: May 10, 2012
Sole Proprietor: Yes

Mailing Address

400 N Main St, Suite 104

Grapevine, TX 760513300

Phone: 8173602300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.