SHANNON GRAHAM (NPI# 1710486873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710486873 |
| Entity Type | Individual |
| Full Name | SHANNON GRAHAM |
| Practice Address |
9701 Apollo Dr Ste 245 Largo MD 20774-4787 |
| Mailing Address |
9675 Ashlyn Cir Owings Mills MD 21117-3278 |
| Practice Telephone | 2406672404 |
| Mailing Telephone | 4438509006 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649490665 | Shannon Wilson Graham | Clinical Nurse Specialist | 400 Quail Creek Dr, Del Rio, TX 78840-2133 | 2007-05-01 |
| 1700357399 | Shannon Lee Graham | Occupational Therapist | 34505 W 12 Mile Rd Ste 100, Farmington Hills, MI 48331-3287 | 2018-12-08 |
| 1639683402 | Shannon M. Graham | Social Worker | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2017-11-30 |
| 1750738795 | Shannon Graham | Developmental Therapist | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2016-05-19 |
| 1538571575 | Shannon Renee Graham | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2014-05-27 |
| 1386988392 | Shannon Janelle Graham | Registered Nurse | Duke University Medical Center 2301 Erwin Road, Durham, NC 27710 | 2012-11-15 |
| 1902193568 | Shannon Graham | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2011-07-05 |
| Street Address |
9701 APOLLO DR STE 245 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194254326 | Christopher Thomas Hall | Counselor | 9701 Apollo Dr Ste 245, Largo, MD 20774-4787 | 2017-06-10 |
| 1801369905 | Tamika Rene Brown | Counselor | 9701 Apollo Dr Ste 245, Largo, MD 20774-4787 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| 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 |
|---|---|---|---|---|
| 1255957916 | Stephen Kauffman | Counselor | 2210 Tall Pines Dr Ste 200, Largo, FL 33771-5347 | 2020-06-18 |
| 1598215444 | Keri Crotty | Counselor | 11963 105th Avenue, Largo, FL 33778 | 2016-10-04 |
| 1598125155 | Lisa Wilks | Counselor | 1300 Mercantile Ln Ste 100m, Largo, MD 20774-5390 | 2016-02-25 |
| 1780050732 | Christine Ann Edwards | Counselor | 7360 Ulmerton Rd Apt 2b, Largo, FL 33771-4541 | 2015-08-13 |
| 1740629328 | Robert Arnold | Counselor | 10204 Seminole Island Dr, Largo, FL 33773-4124 | 2013-06-18 |
| 1144571068 | Karlice Moss-teams | Counselor | 9701 Apollo Drive, Suite 301, Largo, MD 20774-4790 | 2012-10-02 |
| 1982959276 | Mandy Lynn Hines | Counselor | 8550 Ulmerton Rd, # 145, Largo, FL 33771-5358 | 2012-07-23 |
| 1619283330 | Mary J. Martin | Counselor | 1101 S. Belcher Rd, Suite E, Largo, FL 33771 | 2010-08-19 |
| 1912232414 | John Mark King | Counselor | 304 Glades Cir, Largo, FL 33771-5016 | 2009-10-16 |
| 1578796538 | Miguel Messina | Counselor | 1501 S. Belcher Rd, Suite B-4, Largo, FL 33771 | 2009-08-25 |
| Find all providers in LARGO | ||||
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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.