IndividualActive
Shannon Wise, MM, MS
NPI 1942040506 · Mental Health Counselor · Fairfax, VA
Shannon Wise, MM, MS is a Mental Health Counselor provider in Fairfax, VA (NPI 1942040506).
Provider details
- NPI number
- 1942040506
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MM, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0704016928 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3925 Blenheim Blvd Ste 52b
Fairfax, VA 22030-2426
Phone: (571) 418-1714
Approximate (ZIP-level) locationGet directions
Mailing address
1295 Mason Mill Ct
Herndon, VA 20170-5740
Additional practice locations (1)
- 4094 Majestic Ln # 237Fairfax, VA 22033-2104Phone: (703) 335-6172
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is Shannon Wise's NPI number?
- Shannon Wise's National Provider Identifier (NPI) is 1942040506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wise's specialty?
- Shannon Wise is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Wise located?
- Shannon Wise's practice location on file with NPPES is 3925 Blenheim Blvd Ste 52b, Fairfax, VA 22030-2426.
- What is Shannon Wise's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wise is (571) 418-1714.
- Is Shannon Wise's NPI active?
- Yes — Shannon Wise's NPI (1942040506) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.