SHANNON ELISE PEREA (NPI# 1144791153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144791153 |
Entity Type | Individual |
Full Name | SHANNON ELISE PEREA |
Credential | T-LMHC |
Practice Address |
215 4th Ave Se Cedar Rapids IA 52401-1844 |
Mailing Address |
3512 Old Orchard Rd Ne Cedar Rapids IA 52402-7640 |
Practice Telephone | 3198049071 |
Mailing Telephone | 3197200432 |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
093703 | IA | Behavioral Health & Social Service Providers |
Street Address |
215 4TH AVE SE |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52401-1844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992339287 | Traci Biddle | Counselor | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2020-02-26 |
1750926796 | Rebecca Jane Booth | Social Worker | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2019-11-13 |
1861040990 | Holly Fueston | Social Worker | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2019-09-02 |
1366000598 | Lindsey Kutcher | Social Worker | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2019-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326688516 | Sejal Patel | Marriage & Family Therapist | 819 5th Street, Cedar Rapids, IA 52401 | 2020-01-15 |
1992135693 | Mark Valliere | Internal Medicine | 947 14th Ave. Se, Community Health Free Clinic, Cedar Rapids, IA 52401 | 2013-11-15 |
1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
1760755714 | Kashif Nadeem Chaudhry | Internal Medicine | 788 8th Avenue Se; Suite 400, Cedar Rapids, IA 52401 | 2012-02-21 |
1639332745 | Bhavya Akhauri | Internal Medicine | 788 8th Avenue Se, Level 3, Cedar Rapids, IA 52401 | 2008-07-08 |
1972663748 | Samuel B Thompson | Social Worker | 210 2nd St Suite 200, Cedar Rapids, IA 52401 | 2006-12-11 |
1477635811 | Melinda Schwarz Yehyawi | Physician Assistant | 947 14th Ave Se, Community Health Free Clinic, Cedar Rapids, IA 52401 | 2006-10-19 |
1154377463 | Anwar Ahmed | Internal Medicine | 543 7th Street Se, Cedar Rapids, IA 52401 | 2006-05-26 |
1780663005 | Mary Jo Henry | Nurse Practitioner | 115 8th St Ne, Cedar Rapids, IA 52401 | 2006-01-13 |
1437522869 | Kellie Colleen Alexander | Social Worker | 819 5th St Se, Cedar Rapids, IA 52401 | 2015-11-06 |
Find all providers in zip 52401 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013523943 | Bryan Busch | Counselor | 1030 5th Ave Se # Ate3000, Cedar Rapids, IA 52403-2464 | 2020-09-16 |
1477179133 | James L Neubauer | Counselor | 3745 Center Point Rd Ne, Cedar Rapids, IA 52402-2926 | 2020-06-18 |
1366065062 | Thea Bedell, Lmhc, LLC | Counselor | 3412 Center Point Rd Ne, Cedar Rapids, IA 52402-5529 | 2020-05-28 |
1629609037 | Alyssa Anne Mcdowell | Counselor | 1073 Rockford Rd Sw Ste E, Cedar Rapids, IA 52404-1868 | 2020-02-04 |
1316589682 | Gail Wood | Counselor | 1660 42nd St Ne Ste O, Cedar Rapids, IA 52402-3066 | 2019-10-08 |
1154962991 | Tracy Adam | Counselor | 1221 Park Pl Ne Ste F, Cedar Rapids, IA 52402-2019 | 2019-10-02 |
1144883539 | Barbara Lynn Murphy | Counselor | 3635 Bever Ave Se, Cedar Rapids, IA 52403-4330 | 2019-04-21 |
1700358520 | Syndrea Porter | Counselor | 1146 Blairs Ferry Rd Ne Ste 2, Cedar Rapids, IA 52402-1274 | 2018-12-18 |
1902375801 | A New Leaf Mental Health & Wellness Center, Inc | Counselor | 5925 Council St Ne Ste 117, Cedar Rapids, IA 52402-5860 | 2018-11-20 |
1841779550 | Matthew John Hanlon | Counselor | 1957 Blairs Ferry Rd Ne Ste 600, Cedar Rapids, IA 52402-5892 | 2018-08-13 |
Find all providers in CEDAR RAPIDS |
City | CEDAR RAPIDS |
Zip Code | 52401 |
Please comment or provide details below to improve the information on SHANNON ELISE PEREA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.