MICHELLE SHANNON (NPI# 1316278427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316278427 |
| Entity Type | Individual |
| Full Name | MICHELLE SHANNON |
| Credential | LPC |
| Practice Address |
104 4th Ave Sw Room 238 Albany OR 97321-2804 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5419673819 |
| Practice Fax Number | 5419677259 |
| Mailing Telephone | 5419673819 |
| Mailing Fax Number | 5419677259 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909176 | Michelle Shannon | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2019-12-13 |
| 1336616739 | Michelle Shannon | Counselor | 5601 Democracy Dr Ste 135, Plano, TX 75024-3672 | 2018-10-24 |
| 1194234369 | Michelle Shannon | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2017-09-20 |
| 1104286244 | Michelle Shannon | Audiologist | 915 Olentangy River Rd Fl 4, Columbus, OH 43212-3153 | 2016-03-02 |
| 1750797577 | Michelle Shannon | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1104124726 | Michelle Shannon | Occupational Therapist | 9220 Western Ave, Omaha, NE 68114-2297 | 2011-03-06 |
| 1699007468 | Michelle D Shannon | Social Worker | 601 W Michigan St, Orlando, FL 32805-6203 | 2010-02-04 |
| Street Address |
104 4TH AVE SW ROOM 238 |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194814103 | County of Linn | Community/Behavioral Health | 104 4th Ave Sw, Albany, OR 97321-2804 | 2006-10-11 |
| 1174161814 | Robyn Fritschen | Counselor | 104 4th Ave Sw, Albany, OR 97321-2804 | 2019-12-12 |
| 1780162735 | Summer Phelps | Counselor | 104 4th Ave Sw, Albany, OR 97321-2804 | 2018-08-01 |
| 1790234078 | Dana Spade | Counselor | 104 4th Ave Sw, Room 238, Albany, OR 97321-2804 | 2016-09-27 |
| 1528515566 | Jeanne Mullally | Counselor | 104 4th Ave Sw, Room 238, Albany, OR 97321-2804 | 2016-09-07 |
| 1801282611 | Fredrick Kane | Counselor | 104 4th Ave Sw, Rm. 238, Albany, OR 97321-2804 | 2015-04-08 |
| 1134518368 | Julie Ann Greene | Counselor | 104 4th Ave Sw, Albany, OR 97321-2804 | 2015-01-12 |
| 1255756060 | David Amity | Counselor | 104 4th Ave Sw, Albany, OR 97321-2804 | 2014-03-03 |
| 1386953313 | Stephen Bingenheimer | Counselor | 104 4th Ave Sw, Room 238, Albany, OR 97321-2804 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937142 | Karen Marie | Counselor | 2225 Pacific Blvd Se Ste 211, Albany, OR 97321-7904 | 2019-05-10 |
| 1902461098 | Lisa Kim Cleveland | Counselor | 123 N Westover Blvd, Albany, GA 31707-2949 | 2019-05-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1871070912 | Nashiya Hodge | Counselor | 1907 Stuart Ave, Albany, GA 31707-1705 | 2018-07-21 |
| 1578096525 | Breakthrough Psychotherapeutic Solutions, LLC | Counselor | 323 Pine Ave Ste 204, Albany, GA 31701-2587 | 2017-04-06 |
| 1578094611 | Frank Moore Jr. | Counselor | 2529 Hill St Se, Albany, OR 97322-4266 | 2017-03-21 |
| 1366990418 | Cameron Walker Sr. | Counselor | 1600 Devon Dr, Albany, GA 31721-7117 | 2016-09-19 |
| 1972978740 | Queen E Hall | Counselor | 1809 Dorchester Dr, Albany, GA 31721-2971 | 2015-12-04 |
| 1215320049 | Catharine Varn Field | Counselor | 2402 Dawson Rd Ste 4, Albany, GA 31707-2380 | 2015-03-18 |
| 1063820967 | Kenneth Tyrone Walker | Counselor | 127 Autumn Leaf Dr, Albany, GA 31701-4799 | 2014-07-24 |
| Find all providers in ALBANY | ||||
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| 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.