SHANNON BRUNSON (NPI# 1558479089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558479089 |
| Entity Type | Individual |
| Full Name | SHANNON BRUNSON |
| Credential | LMHC |
| Practice Address |
188 Lodge Rd Freeport FL 32439-2212 |
| Practice Telephone | 8508350076 |
| Practice Fax Number | 8508350076 |
| Mailing Telephone | 8508350076 |
| Mailing Fax Number | 8508350076 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH4811 | FL | Behavioral Health & Social Service Providers |
| Street Address |
188 LODGE RD |
| City | FREEPORT |
| State | FL |
| Zip Code | 32439-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518464767 | Molly Lutz | Specialist/Technologist | 12615 Business Hwy 331, Freeport, FL 32439 | 2018-04-12 |
| 1952840266 | Katherine Mclelland | Specialist/Technologist | 12615 U.S. 331 Bus, Freeport, FL 32439 | 2017-02-20 |
| 1497160360 | Jennewein, Np-c, LLC | Health Maintenance Organization | 40 Washington Street, Freeport, FL 32439 | 2014-06-30 |
| 1407292220 | Lauren Neighbors Youtz | Physician Assistant | 479 E. Hwy 20, Freeport, FL 32439 | 2013-05-20 |
| 1841537180 | Jeanne Elizabeth Brehm | Contractor | 2516 Co Hwy 3280, Freeport, FL 32439 | 2013-01-07 |
| 1417247529 | Lindsay L Shirley | Dentist | 30 Blueberry Road, Freeport, FL 32439 | 2011-04-10 |
| 1659476281 | Garlon Ray Weeks | Pharmacist | 132 East Hwy 20, Freeport, FL 32439 | 2006-09-14 |
| 1477595858 | Freeport Family Medicine LLC | Family Medicine | 1588 Highway 20 West, Freeport, FL 32439 | 2006-06-12 |
| 1366413049 | Christopher Ray Weeks | Pharmacist | 132 E Hwy 20, Freeport, FL 32439 | 2006-01-30 |
| 1992902100 | Freeport Family Chiropractic Clinic LLC | Chiropractor | 40 Washington St., Freeport, FL 32439 | 2007-06-29 |
| Find all providers in zip 32439 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213328 | Peggy A Moore | Counselor | 8 Unity Ln, Freeport, ME 04032-1021 | 2019-06-12 |
| 1235692369 | Corie Washow | Counselor | 10 Cliff Ave, Freeport, ME 04032-6134 | 2019-04-06 |
| 1588123434 | Malisa Rachelle Price | Counselor | 652 Symphony Way, Freeport, FL 32439-2490 | 2019-03-19 |
| 1972030013 | Elizabeth E Walker | Counselor | 4 Cottage St, Freeport, ME 04032-1102 | 2017-05-19 |
| 1841654357 | Celenia Delgado | Counselor | 45 Shonnard Ave, Freeport, NY 11520-2416 | 2016-04-11 |
| 1508242009 | Queens/long Island Counseling Services | Counselor | 168 Connecticut Ave, Freeport, NY 11520-1531 | 2015-08-06 |
| 1265850077 | Silvia A Torres | Counselor | 40 Claurome Pl, Freeport, NY 11520-1515 | 2014-03-31 |
| 1710313309 | Carmen Rego | Counselor | 130 Garfield St, Freeport, NY 11520-5614 | 2013-09-16 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| Find all providers in FREEPORT | ||||
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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.