SHANNON ANDREA (NPI# 1407193766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407193766 |
Entity Type | Individual |
Full Name | SHANNON ANDREA |
Other Name | SHANNON HOFFMAN |
Credential | LPCC |
Practice Address |
12915 63rd Ave N Maple Grove MN 55369-6001 |
Practice Telephone | 9528268424 |
Practice Fax Number | 7633835802 |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 535 | MN | Behavioral Health & Social Service Providers |
Street Address |
12915 63RD AVE N |
City | MAPLE GROVE |
State | MN |
Zip Code | 55369-6001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932410743 | Kyle R Cedermark | Psychiatry & Neurology | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2010-06-25 |
1538603683 | Paragon Residential Treatment for Youth LLC | Psychiatric Residential Treatment Facility | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-12-08 |
1710432935 | Rebekah Birmingham | Counselor | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-08-17 |
1093179020 | Tracy Kuphal-strand | Social Worker | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-04-06 |
1689071698 | Emily Gutlovics | Social Worker | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2014-11-20 |
1124449392 | Jody Wallin | Social Worker | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2013-12-13 |
1063841385 | Anna Shkolnik Johnson | Social Worker | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2013-11-06 |
1124367149 | Calley Lauren Roers | Social Worker | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2013-02-12 |
1346511847 | Emily Anne Buell | Recreation Therapist | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2012-01-16 |
1578832978 | Andrea Rude | Psychiatric Hospital | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2011-12-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
Find all providers in zip 55369 |
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 |
---|---|---|---|---|
1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
1134665748 | Bristlecone To Go, Inc. | Counselor | 13700 Reimer Dr N, Suite 220, Maple Grove, MN 55311-4580 | 2017-01-06 |
1700284452 | Kristine A Doten | Counselor | 11292 86th Ave N Ste 106, Maple Grove, MN 55369-4510 | 2014-12-11 |
1558894162 | Lea Atkinson | Counselor | 10650 County Road 81, Suite 205, Maple Grove, MN 55369-4075 | 2017-04-10 |
1407162183 | Calli Counseling, Pllc | Counselor | 11334 86th Ave N, Maple Grove, MN 55369-4528 | 2010-08-19 |
1477885184 | Jennifer Hocum Atherton | Counselor | 12918 63rd Ave N, Maple Grove, MN 55369-6001 | 2010-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
1154976926 | Isuroon | Counselor | 1600 E. Lake St., Suite 1, Minneapolis, MN 55407-1884 | 2019-08-07 |
Find all providers with the same taxonomy |
City | MAPLE GROVE |
Zip Code | 55369 |
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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.