DR. SHANNON M LILJA (NPI# 1336301621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336301621 |
| Entity Type | Individual |
| Full Name | DR. SHANNON M LILJA |
| Credential | DBH LPC LMHC CDP CAD |
| Practice Address |
818 Commercial St Ste 305 (second Office In Beaverton, Oregon) Astoria OR 97103-4553 |
| Mailing Address |
Po Box 177 Sandalwood Counseling LLC Skamokawa WA 98647 |
| Practice Telephone | 5032605118 |
| Mailing Telephone | 5032605118 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2016-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | RC60020400 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RC60020400 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
RC60020400 | WA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
RC60020400 | WA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | RC60020400 | WA | Behavioral Health & Social Service Providers |
| Street Address |
818 COMMERCIAL ST STE 305 (SECOND OFFICE IN BEAVERTON, OREGON) |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1801412390 | Kimberly Alberta Martin | Counselor | 2368 Crescent St Fl 1, Astoria, NY 11105-3108 | 2020-06-19 |
| 1295361483 | Stephen Kendall | Counselor | 2038 29th St Apt 2, Astoria, NY 11105-2578 | 2020-03-19 |
| 1396376174 | Crespo Mental Health Counseling Service Pllc | Counselor | 4012 31st Ave Ste 1, Astoria, NY 11103-3459 | 2020-01-30 |
| 1972142156 | Full Scope Mental Health Counseling Pllc | Counselor | 3109 Newtown Ave Ste 409, Astoria, NY 11102-1373 | 2020-01-05 |
| 1184276354 | Elliott Dalton Skaggs | Counselor | 2654 30th St Apt 1r, Astoria, NY 11102-2151 | 2019-07-09 |
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1023502721 | Evangelos Anastasios Samaras | Counselor | 2246 31st St Rear House, Astoria, NY 11105-2786 | 2018-06-18 |
| 1184112708 | Amy Glasgow | Counselor | 4503 Broadway Apt 2l, Astoria, NY 11103-1625 | 2018-04-30 |
| 1578050092 | Charles B Chambers | Counselor | 1139 Exchange St, Astoria, OR 97103-4129 | 2018-04-19 |
| Find all providers in ASTORIA | ||||
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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.