SHAWNA FANNING (NPI# 1386989838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386989838 |
| Entity Type | Individual |
| Full Name | SHAWNA FANNING |
| Credential | LMHC, LADC I, CADC |
| Practice Address |
161 Summer St Ste 7 Kingston MA 02364-1275 |
| Practice Telephone | 3395262109 |
| Practice Fax Number | 3392070142 |
| Mailing Telephone | 3395262109 |
| Mailing Fax Number | 3392070142 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0401-2 | MA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1078AD | MA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13481 | MA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9880 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 82 Main St Lowr Level, Kingston, MA 023642298 | 3395262109 | |
| 2 School St, Plymouth, MA 023603964 | 5088301234 | 5088301191 |
| Street Address |
161 SUMMER ST STE 7 |
| City | KINGSTON |
| State | MA |
| Zip Code | 02364-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750667259 | Tracy Lyn Allen | Registered Nurse | 189 Summer Street, Minute Clinic (inside Cvs), Kingston, MA 02364 | 2011-10-27 |
| 1023248788 | David Dilley Robert Dilley | Behavioral Analyst | 25 Deer Run Rd, Kingston, MA 02364 | 2009-07-15 |
| 1710024963 | Carrie Sue Hansen | Nurse Practitioner | 345 Court St. Suite 202, Plymouth Dermatology, Plymouth, MA 02364 | 2007-01-30 |
| 1588172860 | Maureen Whitaker | Nurse Practitioner | 189 Summer St, Kingston, MA 02364 | 2018-01-20 |
| 1811227366 | Terry Marie Mccann | Physical Therapist | 17 Chipman Way, Kingston, MA 02364 | 2010-01-06 |
| 1295931483 | Judith A Barry | Physical Therapy Assistant | 17 Chipman Way, Kingston, MA 02364 | 2007-06-25 |
| 1679634992 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 101 Independence Mall Way, Kingston, MA 02364 | 2006-12-12 |
| 1487128773 | Gina Girouard | Acupuncturist | 301 Pembroke St, Kingston, MA 02364-1011 | 2019-01-19 |
| 1326687351 | Acutherapy for Healing Inc. | Acupuncturist | 301 Pembroke St, Kingston, MA 02364-1011 | 2019-12-20 |
| 1669838561 | Sargent Child and Family Services Corp | Counselor | 2 Woodland Ave, Kingston, MA 02364-1030 | 2016-01-07 |
| Find all providers in zip 02364 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976441 | Donati Counseling, Inc. | Counselor | 40 Nobadeer Cir, Kingston, MA 02364-3306 | 2020-06-15 |
| 1851924518 | Lisa A Mannino | Counselor | 21 Green St Apt 2, Kingston, NY 12401-4503 | 2020-02-20 |
| 1588131007 | Katelyn Gill | Counselor | 357 W Oreilly St Apt 1308, Kingston, NY 12401-5731 | 2018-11-02 |
| 1902395189 | Nancy E Lecuyer | Counselor | 28 Harvest Dr, Kingston, MA 02364-1823 | 2018-05-03 |
| 1194212670 | Shaun Cohen | Counselor | 79 Saint James St Fl 2, Kingston, NY 12401-4513 | 2018-04-19 |
| 1912420134 | Stephanie Kristal | Counselor | 275 Fair St Ste 30, Kingston, NY 12401-3882 | 2017-07-19 |
| 1447798442 | Michael Thacker | Counselor | 15 Meeks Rd, Kingston, NH 03848-3517 | 2017-02-09 |
| 1487000410 | Alexander Drakontaidis | Counselor | 30 Wilson Ave, Kingston, NY 12401-2110 | 2016-05-09 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| 1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| Find all providers in KINGSTON | ||||
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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.