SHANNON ROOSMA (NPI# 1225655848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225655848 |
| Entity Type | Individual |
| Full Name | SHANNON ROOSMA |
| Other Name | SHANNON KINZIE |
| Credential | LPC |
| Practice Address |
2212 Mulberry St Salem VA 24153-6013 |
| Practice Telephone | 4346651800 |
| Mailing Telephone | 4346651800 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701008223 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2212 MULBERRY ST |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| 1003426800 | Bethany Grace Lee | Counselor | 508 E Main St Ste 500, Salem, VA 24153-4325 | 2020-08-06 |
| 1013489707 | Stephen Todd Rohrbeck | Counselor | 4060 Macleay Rd Se Ste A, Salem, OR 97317-5801 | 2018-12-19 |
| 1346718467 | Claire Jones | Counselor | 355 High St Se Ste 2, Salem, OR 97301-3613 | 2018-11-06 |
| 1851873319 | James Joseph Briggs | Counselor | 930 25th St Se, Salem, OR 97301-5045 | 2018-08-31 |
| 1487146403 | Lugenia Small | Counselor | 4 Eakin St Ste 4a, Salem, NJ 08079-1704 | 2018-06-05 |
| 1588165807 | Cassie Fort | Counselor | 4532 Poinsettia St Ne, Salem, OR 97305-9500 | 2018-02-22 |
| 1336688654 | Carilee Ball | Counselor | 838 County Road 3233, Salem, MO 65560-0473 | 2017-02-20 |
| 1174972640 | Nina Marie Perard | Counselor | 2095 Robins Ln Se, Apt 232, Salem, OR 97306-2766 | 2016-06-06 |
| 1114312162 | Nancy Rodgers | Counselor | 147 Way Rd, Salem, CT 06420-3716 | 2015-04-06 |
| Find all providers in SALEM | ||||
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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.