SHANNON GRIMSLEY (NPI# 1790107514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790107514 |
| Entity Type | Individual |
| Full Name | SHANNON GRIMSLEY |
| Credential | MS, NCC, LPCC |
| Practice Address |
10102 Country Club Road Cumberland MD 21501 |
| Mailing Address |
201 Simpson Ave Apt 411 Lexington KY 40504-4125 |
| Practice Telephone | 3017772290 |
| Practice Fax Number | 3017772160 |
| Mailing Telephone | 2406676348 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2018-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA1993 | MD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
241824 | KY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LC5025 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10102 COUNTRY CLUB ROAD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866092 | Thomas A. Grieger | Psychiatry & Neurology | 10102 Country Club Road, Thomas B Finan Center, Cumberland, MD 21502 | 2006-01-20 |
| 1598034522 | Allegany County Health Department | Substance Abuse Rehabilitation Facility | 10102 Country Club Road, Cumberland, MD 21502 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644626 | Lanette J Sipple | Pharmacist | 12500 Willowbroook Road, Pharmacy Department, Cumberland, MD 21501 | 2014-02-05 |
| 1104842566 | Melvin R Gonzaga | Anesthesiology | 957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, MD 21501-0929 | 2006-07-15 |
| 1336134238 | Joseph D. Brandenburg Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10100 Country Club Road, Cumberland, MD 21501-1722 | 2005-09-16 |
| 1215969647 | James Michael Isaac | Occupational Therapist | 10102 Country Club Rd Se, Cumberland, MD 21501-1722 | 2006-07-07 |
| 1568630523 | Rupert Winston Bosley | Dentist | 12503 Willowbrook Rd. Se, Cumberland, MD 21501-1745 | 2008-02-13 |
| 1093996746 | Jeremy Alan Herschler | Psychiatry & Neurology | 12500 Willowbrook Rd Se, Cumberland, MD 21501-1745 | 2007-11-23 |
| 1003035460 | Sue Vauthier Raver | Pediatrics | 12501 Willowbrook Rd, Allegany County Health Department, Cumberland, MD 21501-1745 | 2007-04-24 |
| 1922092337 | Robert Mathis Johnson | Dentist | 12503 Willowbrook Rd. Se, Cumberland, MD 21501-1745 | 2005-08-31 |
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447838 | Aspen Wellness Center, LLC | Counselor | 519 N Mechanic St, Cumberland, MD 21502-2133 | 2018-08-16 |
| 1518461847 | Courtenay James Baber | Counselor | 239 Meador Rd, Cumberland, VA 23040-2043 | 2018-03-21 |
| 1629595723 | Patrick Deasy | Counselor | 300 E Oldtown Rd Ste 1, Cumberland, MD 21502-3600 | 2017-08-29 |
| 1790145605 | Amy Rowles-shipley | Counselor | 11602 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2016-03-04 |
| 1932528288 | Greater Allegany Counseling | Counselor | 310b Decatur St, Cumberland, MD 21502-2417 | 2014-04-15 |
| 1023182268 | Davis M Dayhoff | Counselor | 7 Market St, Cumberland, MD 21502-2214 | 2006-11-20 |
| 1215542709 | Marlene S Oleksak | Counselor | 519 N Mechanic St, Cumberland, MD 21502-2133 | 2020-09-10 |
| 1568076420 | Mindy Sue Blank | Counselor | 308 Virginia Ave, Cumberland, MD 21502-4559 | 2020-09-08 |
| 1154948404 | Claire V Raesch | Counselor | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2020-07-02 |
| 1649827742 | Brianne Perez | Counselor | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2019-08-22 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21501 |
Please comment or provide details below to improve the information on SHANNON GRIMSLEY.
| 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.