SHANNON MARIE MILES (NPI# 1215112453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215112453 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE MILES |
| Credential | M.A., LMFT |
| Practice Address |
325 E Shore Dr Suite 120 Eagle ID 83616-6583 |
| Practice Telephone | 2087617677 |
| Mailing Telephone | 2087617677 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT4551 | ID | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC38858 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256378 | Shannon Raquel Miles | Nursing Facility/Intermediate Care Facility | 12341 W Corrine Dr, El Mirage, AZ 85335-5224 | 2019-07-03 |
| 1477038180 | Shannon Amber Miles | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-09-27 |
| 1578854055 | Shannon R. Miles | Psychologist | 2002 Holcombe Blvd, Veterans Affairs Medical Center (152), Houston, TX 77030-4211 | 2011-05-02 |
| Street Address |
325 E SHORE DR SUITE 120 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972762342 | Eagle River Dentistry | Clinic/Center | 325 E Shore Dr, Suite 100, Eagle, ID 83616-6583 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1215182118 | Martha Arleen Monroe | Marriage & Family Therapist | 1797 W Floating Feather Rd, Eagle, ID 83616-3717 | 2008-11-20 |
| 1033395876 | Jill Mitchell | Marriage & Family Therapist | 1159 E Iron Eagle Dr, Suite 170-f, Eagle, ID 83616-6871 | 2008-01-10 |
| 1881779775 | Edward William Gilliland | Marriage & Family Therapist | 850 Chambers, Suite 5, Eagle, CO 81631-3303 | 2006-10-26 |
| 1669608626 | Marilyn A Brown-tucker | Marriage & Family Therapist | 136 S Academy Ave, Eagle, ID 83616-6541 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070193 | Lana Elizabeth Bronn | Marriage & Family Therapist | 89 N Main St Ste 204, Driggs, ID 83422-5164 | 2020-07-09 |
| 1831725902 | Steven Michael Moroney | Marriage & Family Therapist | 24338 N Mckenzie Dr, Rathdrum, ID 83858-7390 | 2020-03-20 |
| 1285268102 | Sandra Marie Gunn | Marriage & Family Therapist | 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 | 2020-02-29 |
| 1790322451 | Karen Casperson | Marriage & Family Therapist | 1018 Atelier Condo Dr., Sun Valley, ID 83353 | 2019-12-02 |
| 1528602828 | Damaris Ellen Conrad | Marriage & Family Therapist | 205 S Lancaster Dr, Nampa, ID 83686-8077 | 2019-10-30 |
| 1063064111 | Stacy Annette Brittain | Marriage & Family Therapist | 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 | 2019-07-09 |
| 1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
| 1851819486 | Laura M. Brotherson | Marriage & Family Therapist | Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 | 2017-09-04 |
| 1972043966 | Jedidiah Dykstra | Marriage & Family Therapist | 1140 American Legion Blvd, Mountain Home, ID 83647-2821 | 2017-02-24 |
| 1699228577 | Relationship Solutions LLC | Marriage & Family Therapist | 1714 N Quail Run Blvd, Post Falls, ID 83854-6024 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
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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.