SHANNON V FREEMAN (NPI# 1417339060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417339060 |
| Entity Type | Individual |
| Full Name | SHANNON V FREEMAN |
| Credential | M.A., LMFT |
| Practice Address |
1146 Sam Newell Rd Ste D Matthews NC 28105-5072 |
| Mailing Address |
2406 Mcclintock Rd Unit 201 Charlotte NC 28205-5238 |
| Practice Telephone | 7044438148 |
| Mailing Telephone | 2037685859 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Yonkers Rd, Raleigh, NC 276042258 | 2037685859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879404 | Shannon Freeman | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-10 |
| 1053598839 | Shannon Marie Freeman | Dietitian, Registered | Psc 819 Box 18, Fpo, AE 09645 | 2008-01-24 |
| Street Address |
1146 SAM NEWELL RD STE D |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871133926 | Eve Rogerson | Counselor | 1146 Sam Newell Rd Ste D, Matthews, NC 28105-5072 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770130783 | Krista Gunsalus Stephenson | Marriage & Family Therapist | 1140 Sam Newell Rd Ste B2, Matthews, NC 28105-5065 | 2019-08-23 |
| 1932658390 | Tamra Carpenter | Marriage & Family Therapist | 3720 Cedarbark Dr, Matthews, NC 28105-3731 | 2016-09-27 |
| 1376940353 | Marc Rizzo | Marriage & Family Therapist | 2407 Plantation Center Dr Ste 103, Matthews, NC 28105-6614 | 2014-11-19 |
| 1023225414 | William Errett Roth | Marriage & Family Therapist | 1420 Matthews Plantation Dr, Matthews, NC 28105-2464 | 2007-05-17 |
| 1588195580 | Vanessa Pierre-parker | Marriage & Family Therapist | 6800 Saint Peters Ln, Matthews, NC 28105-8458 | 2017-03-22 |
| 1184082935 | Tori Johnson | Marriage & Family Therapist | 10801 Monroe Rd, Suite A, Matthews, NC 28105-8335 | 2016-02-08 |
| 1992127260 | Calm Seas Family Services, Pllc | Marriage & Family Therapist | 325 Matthews Mint Hill Rd, Suite 101, Matthews, NC 28105-2816 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1043826589 | Lauren Stiegler | Marriage & Family Therapist | 931 Haybeck Ln, Apex, NC 27523-6192 | 2020-09-21 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1689286338 | Dina Rose Velazquez | Marriage & Family Therapist | 500 Lemon Pepper Pl, Wendell, NC 27591-8948 | 2020-08-23 |
| 1023631959 | Carolyn Neese | Marriage & Family Therapist | 4102 N Main St, High Point, NC 27265-1132 | 2020-05-27 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| 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.