SHANNON BATES (NPI# 1104374040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104374040 |
| Entity Type | Individual |
| Full Name | SHANNON BATES |
| Practice Address |
107 Cranes Roost Ct Elizabethtown KY 42701-3650 |
| Practice Telephone | 2707652605 |
| Mailing Telephone | 2707652605 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| 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 |
|---|---|---|---|---|
| 1043818065 | Shannon Bates | Case Manager/Care Coordinator | 3202 Se Footman Ln, Lawton, OK 73501-6340 | 2020-10-12 |
| 1275007601 | Shannon M Bates | Counselor | 38883 Ca-299, Willow Creek, CA 95573 | 2019-01-18 |
| 1073000279 | Shannon Marie Bates | Psychologist | 760 Westwood Plz Ste 47-438c, Los Angeles, CA 90095-8353 | 2018-04-13 |
| 1376086793 | Shannon Bates | Behavioral Analyst | 120 Byron Ave, Altoona, PA 16602-4106 | 2016-12-02 |
| 1770032674 | Shannon Bates | Marriage & Family Therapist | 900 Los Osos Valley Rd Ste C, Los Osos, CA 93402-3268 | 2016-10-03 |
| 1073011151 | Shannon Bates | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2018-01-24 |
| Street Address |
107 CRANES ROOST CT |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569315 | Thomas Brown | Psychiatry & Neurology | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2005-06-27 |
| 1982203121 | Christy Jean Elliott | Marriage & Family Therapist | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-10-20 |
| 1225637648 | Carissa Rae Rodden | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-10-19 |
| 1689280778 | Rebecca Johnson | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-09-23 |
| 1508493396 | Tamara Luster | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-03-24 |
| 1770119505 | Ashley Michelle Foster-flynn | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-03-12 |
| 1073145793 | Alisha Jo Bennett | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-02-11 |
| 1902437197 | Ashley Nikole Gregory | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-01-28 |
| 1013556182 | Rachel Ragin | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2020-01-06 |
| 1558908095 | Katherine E Clouse | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1669024238 | Kristian Herron | Counselor | 2410 Ring Rd Ste 500, Elizabethtown, KY 42701-7991 | 2019-07-12 |
| 1407335664 | Kimberly Gose | Counselor | Communicare, Inc., 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2018-08-08 |
| 1851808471 | Deborah Kay Mccolpin | Counselor | 1311 N Dixie Ave Bldg C, Elizabethtown, KY 42701-2621 | 2018-01-04 |
| 1194244673 | Kimberly Lynn Lucas | Counselor | Communicare 107 Cranes Roost Ct, Elizabethtown, KY 42702-3650 | 2017-09-15 |
| 1730603804 | Lauren Spencer | Counselor | Communicare, Inc, 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-07-31 |
| 1326414855 | Amanda Stephens | Counselor | 1311 N Dixie Hwy # A, Elizabethtown, KY 42701-2621 | 2015-08-19 |
| 1568842227 | Shannon Maureen Gonter | Counselor | 1311 Dixie Highway, Elizabethtown, KY 42701 | 2015-06-08 |
| 1972918928 | Geneva Polser | Counselor | 1311 N Dixie Hwy Bldg C, Elizabethtown, KY 42701-2621 | 2014-06-29 |
| 1417388356 | Brandy Buster | Counselor | 1311 N Dixie Hwy Bldg A, Elizabethtown, KY 42701-2621 | 2013-12-03 |
| 1578808747 | Megan Pierce | Counselor | 400 Mercer Mill Road, Elizabethtown, NC 28337 | 2012-11-29 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.