SHANNON KILGORE (NPI# 1356902597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356902597 |
| Entity Type | Individual |
| Full Name | SHANNON KILGORE |
| Credential | LMFT |
| Practice Address |
2030 E 4th St Ste C-23220 Santa Ana CA 92705-3940 |
| Mailing Address |
340 E 1st St Unit 946 Tustin CA 92781-2246 |
| Practice Telephone | 6578591861 |
| Mailing Telephone | 6578591861 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
109195 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366485849 | Shannon Michelle Kilgore | Psychiatry & Neurology | 3801 Miranda Ave, Mc 127, Palo Alto, CA 94304-1207 | 2006-06-13 |
| Street Address |
2030 E 4TH ST STE C-23220 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1871113175 | Sandy Nunez | Counselor | 1200 N Main St Fl 2, Santa Ana, CA 92701-3640 | 2020-04-16 |
| 1336794056 | Eduardo Lopez | Counselor | 727 S Lyon St Apt B204, Santa Ana, CA 92705-7200 | 2019-08-08 |
| 1699338475 | Kemper Ian Gottshall | Counselor | 1300 S Grand Ave Bldg C2, Santa Ana, CA 92705-4434 | 2019-04-17 |
| 1013475649 | Shaneska Frederique | Counselor | 1551 W Walnut St Unit 50, Santa Ana, CA 92703-6314 | 2019-03-02 |
| 1659835296 | Rebecca Christina Gastelum | Counselor | 505 N Tustin Ave Ste 233, Santa Ana, CA 92705-3775 | 2019-01-28 |
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1568942688 | Giovanni Casas | Counselor | 2717 W Carlton Pl, Santa Ana, CA 92704-4022 | 2018-08-17 |
| 1639665532 | Heidi Kimberly Mercado | Counselor | 1321 S Pacific Ave, Santa Ana, CA 92704-3717 | 2018-07-03 |
| Find all providers in SANTA ANA | ||||
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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.