SHANNON COOLAHAN (NPI# 1508371261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508371261 |
| Entity Type | Individual |
| Full Name | SHANNON COOLAHAN |
| Practice Address |
210 Bear Hill Rd Ste 203 Waltham MA 02451-1025 |
| Mailing Address |
10 Mechanic St Ste 302 Worcester MA 01608-2419 |
| Practice Telephone | 7812904970 |
| Practice Fax Number | 7818902624 |
| Mailing Telephone | 5087925400 |
| Mailing Fax Number | 5088310074 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
210 BEAR HILL RD STE 203 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402567 | Diane Flowers | Counselor | 210 Bear Hill Rd Ste 203, Waltham, MA 02451-1025 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861967119 | Aline Kassabian | Counselor | 460 Waverley Oaks Rd, Waltham, MA 02452-8408 | 2018-10-12 |
| 1346741816 | Robert Ssekiranda | Counselor | 656 South St Apt C, Waltham, MA 02453-1434 | 2018-02-21 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1063954782 | Victoria Maffeo | Counselor | 260 Crescent St, Waltham, MA 02453-3417 | 2016-11-11 |
| 1508231242 | Anna Luti | Counselor | 431 River St Ste 3, Waltham, MA 02453-5483 | 2015-12-07 |
| 1518210384 | Jenna Rando Savignano | Counselor | 46 Nutting Rd, Waltham, MA 02451-3113 | 2012-10-18 |
| 1891009213 | Louis Ian Galex | Counselor | 5513 Stearns Hill Rd, Waltham, MA 02451-7156 | 2010-07-27 |
| 1447402284 | Andrew Martin Wineman | Counselor | 133 Brown St Apt 1, Waltham, MA 02453-5128 | 2008-10-10 |
| 1780284695 | Rose Harrington | Counselor | 431 River Street, Waltham, MA 02453 | 2020-10-29 |
| 1699389502 | Simone Matthews | Counselor | 431 River St Ste 1, Waltham, MA 02453-5483 | 2020-09-08 |
| Find all providers in WALTHAM | ||||
Please comment or provide details below to improve the information on SHANNON COOLAHAN.
| 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.