MEDICARE: SHANNON EILEEN JUNG MA, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CP0016	NV

General Provider Information

NPI Number	:	1285331074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON EILEEN JUNG MA, LCPC

Provider Business Mailing Address
First Line	:	801 ROSEBERRY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-7559
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 ROSEBERRY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-7559
Country	:	US
Telephone Number	:	414-750-6954
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2023
Last Update Date	:	02/13/2023

Similar Medicare Providers

1427038553 — DR. PAMELA L. KURTZHALS M.D.
Practice Location Address:

894 ROSEBERRY DR
LAS VEGAS, NV
89138-7559

Practice Phone: 619-962-6868
Practice Fax:

1942633938 — RAQUEL LINDSEY
Practice Location Address:

9918 BLUE VILLA CT
LAS VEGAS, NV
89178-7559

Practice Phone: 702-370-1129
Practice Fax:

1306524707 — BRIA SHOULDERS
Practice Location Address:

3821 SILVER DOLLAR AVE APT 101
LAS VEGAS, NV
89102-7559

Practice Phone: 404-422-7366
Practice Fax:

1245186550 — ELAINE BRITO NGUYEN
Practice Location Address:

2941 RAYWOOD ASH DR
LAS VEGAS, NV
89138-6143

Practice Phone: 714-376-4921
Practice Fax:

1457082471 — KATELYN MCDERMOTT CCC-SLP
Practice Location Address:

850 LA SCONSA DR
LAS VEGAS, NV
89138-7562

Practice Phone: 702-354-2846
Practice Fax:

1962358424 — XIN XU
Practice Location Address:

11632 LONGHIRST HALL LN
LAS VEGAS, NV
89138-6034

Practice Phone: 614-668-0091
Practice Fax:

Directions to “ SHANNON EILEEN JUNG MA, LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.