AMANDA SHANNON (NPI# 1417288101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417288101 |
| Entity Type | Individual |
| Full Name | AMANDA SHANNON |
| Other Name | AMANDA HARMAN |
| Credential | M.A. |
| Practice Address |
506 Grover St Ste 112 Lynden WA 98264 |
| Mailing Address |
506 Grover St Ste 112 Lynden WA 98264-1960 |
| Practice Telephone | 3603838682 |
| Practice Fax Number | 3602550439 |
| Mailing Telephone | 3603838682 |
| Mailing Fax Number | 3602550439 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MG 60146874 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
61542 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00007301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Larrabee Ave Ste 204, Bellingham, WA 982257367 | 3603838682 | |
| 316 Se Pioneer Way, Oak Harbor, WA 982775716 | 3603898735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205394228 | Amanda Dawn Shannon | Nurse Practitioner | 2300 S Clear Creek Rd Ste 101, Killeen, TX 76549-4985 | 2019-03-08 |
| 1215171061 | Amanda Gail Shannon | Licensed Practical Nurse | #8 Medical Plaza, Health Resources of Arkansas, Mountain Home, AR 72653 | 2009-04-23 |
| 1063904365 | Amanda A Shannon | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-06-01 |
| Street Address |
506 GROVER ST STE 112 |
| City | LYNDEN |
| State | WA |
| Zip Code | 98264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513755 | Marian F Kelsey | Marriage & Family Therapist | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2020-09-17 |
| 1144875204 | Shannon Counseling LLC | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-08-06 |
| 1851945943 | Kelly Cooper | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041412 | Family Care Network, Pllc | Family Medicine | 1610 Grover St., Ste. D-1, Lynden, WA 98264 | 2019-06-06 |
| 1619499753 | David Michael Grambo | Physical Therapist | 8862 Bender Rd #101, Lynden, WA 98264 | 2017-07-11 |
| 1144778317 | Shawn Hofing | Counselor | 709 Front St, Lynden, WA 98264 | 2016-09-16 |
| 1295151900 | Duane Korthuis | Specialist/Technologist | 1201 Bradley Rd., Lynden High School, Lynden, WA 98264 | 2014-03-06 |
| 1255649869 | James Kimo Jandoc | Physical Medicine & Rehabilitation | 1610 Grover St Ste C3, Lynden, WA 98264 | 2010-09-16 |
| 1033349048 | Brenda Jean Jensen | Massage Therapist | 104 Grover St, Lynden, WA 98264 | 2009-07-24 |
| 1295980704 | Jeannett M. Penner | Physical Therapist | 8862 Bender Road, Suite 101, Lynden, WA 98264 | 2008-11-25 |
| 1992917884 | Olson Family Chiropractic, Inc | Chiropractor | 8304 Guide Meridian Rd., Lynden, WA 98264 | 2007-05-04 |
| 1477678209 | Lynden Family Chiropractic LLC | Chiropractor | 105-5th Street, Suite 105, Lynden, WA 98264 | 2007-03-20 |
| 1215022108 | Jack Veltkamp | Dentist | 1610 Grover Street, Suite C-1, Lynden, WA 98264 | 2006-10-04 |
| Find all providers in zip 98264 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144778317 | Shawn Hofing | Counselor | 709 Front St, Lynden, WA 98264 | 2016-09-16 |
| 1205139045 | Robert P. Devries P.s. Inc | Counselor | 1610 Grover St. C-5, Lynden, WA 98264-1539 | 2010-12-17 |
| 1144875204 | Shannon Counseling LLC | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-08-06 |
| 1851945943 | Kelly Cooper | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1255932216 | Marinah Juarez | Counselor | 42304 E Ridgecrest Dr Ne, Benton City, WA 99320-8402 | 2020-11-05 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1053911735 | Laura S Garcia | Counselor | 603 N Anderson St, Ellensburg, WA 98926-3148 | 2020-10-30 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1255931416 | Lauren Dudugjian | Counselor | 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.