Look up the most recent NPI and PECOS records

Shannon Becker

Counselor

Behavioral Health & Social Service Providers

8430 W Lake Mead Blvd, Las Vegas, NV 89128-7672

PECOS Enrollment

Based on the most recent information from CMS, provider Shannon Becker does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1871937581
Provider Type
Individual
Full Name
Becker, Shannon
Gender
Female

Sole Proprietor
Yes
Enumeration Date
4/24/2013
Last Updated
12/11/2023

Contact Information

Practice Location

8430 W Lake Mead Blvd, Las Vegas, NV 89128-7672

(702) 497-0080

Unlisted Fax

Mailing Location

8430 W Lake Mead Blvd, Las Vegas, NV 89128-7672

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CI0187 Nevada
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MI0734 Nevada
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Shannon Becker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

Code

Description

License

Code

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Code

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