SHANNON N LEARY (NPI# 1417203878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417203878 |
| Entity Type | Individual |
| Full Name | SHANNON N LEARY |
| Credential | LPC, NCC, CSAC |
| Practice Address |
1 Old Oyster Point Rd Ste. 250 Newport News VA 23602-7121 |
| Practice Telephone | 7579696848 |
| Practice Fax Number | 7579696849 |
| Mailing Telephone | 7579696848 |
| Mailing Fax Number | 7579696849 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710102436 | VA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701005299 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992135842 | Shannon Leary | Registered Nurse | 9 Victoria Drive, Blooming Grove, NY 10914-0375 | 2013-11-13 |
| Street Address |
1 OLD OYSTER POINT RD STE. 250 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-7121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376813410 | Oyster Point Counseling Center | Marriage & Family Therapist | 1 Old Oyster Point Rd, Suite 250, Newport News, VA 23602-7121 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595624 | Jeffrey Williams | Counselor | 803 Wyemouth Dr, Newport News, VA 23602-8916 | 2020-07-16 |
| 1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
| 1760011993 | The Wright Place Coaching and Counseling, LLC | Counselor | 305 Peach Tree Cres, Newport News, VA 23602-7491 | 2020-04-08 |
| 1649819137 | Abundant Solutions LLC | Counselor | 606 Denbigh Blvd Ste 103, Newport News, VA 23608-4413 | 2019-12-31 |
| 1871148080 | Kelly Marie Sanchez | Counselor | 1944 Mortar Loop Apt A, Newport News, VA 23603-1507 | 2019-08-05 |
| 1184278962 | Ascension Counseling Services LLC | Counselor | 14203 Old Courthouse Way Ste B, Newport News, VA 23602-3749 | 2019-07-30 |
| 1437629045 | Frances E A Mcbride | Counselor | 11835 Fishing Point Dr Ste 202, Newport News, VA 23606-2585 | 2018-11-27 |
| 1447733886 | Gregory Amodeo | Counselor | 135 Nelson Dr, Newport News, VA 23601-3207 | 2018-09-12 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1841786050 | Rachel Goodwyn | Counselor | 1 Old Oyster Point Rd Ste 250, Newport News, VA 23602-7149 | 2018-07-11 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
Please comment or provide details below to improve the information on SHANNON N LEARY.
| 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.