SHANNEN GORDON (NPI# 1548872740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548872740 |
| Entity Type | Individual |
| Full Name | SHANNEN GORDON |
| Practice Address |
386 Stanley St Fall River MA 02720-6009 |
| Practice Telephone | 5086795222 |
| Practice Fax Number | 5086733182 |
| Mailing Telephone | 5086795222 |
| Mailing Fax Number | 5086733182 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| 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 |
386 STANLEY ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164702 | Robert Kiernan | Physician Assistant | 386 Stanley St, Fall River, MA 02720-6009 | 2005-06-15 |
| 1811596141 | Eduarda L Silva | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-10-19 |
| 1912513243 | John Shipley | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-09-22 |
| 1205448354 | Kriselle Green | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-20 |
| 1073124186 | Meghann Froio | Student in an Organized Health Care Education/Training Program | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1255942488 | Caroline Gardiner | Case Manager/Care Coordinator | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1275144412 | Juan Rosario | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1497366686 | Liam Lane | Student in an Organized Health Care Education/Training Program | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1538770714 | Mary Maddox | Counselor | 386 Stanley St, Fall River, MA 02720-6009 | 2020-08-12 |
| 1881210409 | Mary Fernandes | Student in an Organized Health Care Education/Training Program | 386 Stanley St, Fall River, MA 02720-6009 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| 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 |
|---|---|---|---|---|
| 1750882452 | Ashley Marie Smith | Counselor | 1082 Davol St Ste 2, Fall River, MA 02720-1124 | 2018-02-27 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1982135901 | Nathan Habib | Counselor | 838 Robeson St, Fall River, MA 02720-5504 | 2017-03-22 |
| 1114478302 | Melissa Beth Manning I | Counselor | 1451 Rodman St, Fall River, MA 02721-3639 | 2016-10-22 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1922472091 | Melissa Cardona | Counselor | 170 Pleasant St Ste 100, Fall River, MA 02721-3015 | 2015-11-30 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1740671775 | Jessica Butler | Counselor | 221 Beach St Apt 2, Fall River, MA 02721-1013 | 2015-02-12 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| 1356751358 | Karen Mercer | Counselor | 1028 Davol Street, Fall River, MA 02720 | 2014-04-30 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on SHANNEN GORDON.
| 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.