MS. SHANNON KELLEY (NPI# 1467897165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467897165 |
| Entity Type | Individual |
| Full Name | MS. SHANNON KELLEY |
| Credential | LPC |
| Practice Address |
1020 Riverwood Ct Bldg 1 Conroe TX 77304-2811 |
| Practice Telephone | 9365216484 |
| Mailing Telephone | 9365216484 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
66386 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284275 | Shannon Kelley | Occupational Therapist | 3800 Nicholasville Rd Apt 11430, Lexington, KY 40503-6351 | 2017-09-14 |
| 1700153327 | Shannon Marie Kelley | Behavioral Analyst | 10530 Warwick Ave, Suite C5, Fairfax, VA 22030-3132 | 2011-11-28 |
| 1902089238 | Shannon Kathleen Kelley | Social Worker | 650 Madison St, Syracuse, NY 13210-2319 | 2007-12-10 |
| 1730701871 | Shannon M Kelley | Advanced Practice Midwife | 55 Fruit St, Boston, MA 02114-2696 | 2020-05-12 |
| 1932637717 | Shannon E Kelley | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2017-05-24 |
| 1619339132 | Shannon Kelley | Pharmacist | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2016-03-23 |
| 1639537913 | Shannon Kelley | Case Management | 4250 Woodward Ave, Detroit, MI 48201-1818 | 2016-02-02 |
| 1700267705 | Shannon Kelley | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2015-06-15 |
| 1992056063 | Shannon Dunn Kelley | Physical Therapist | 1012 S Crowley Rd, # C, Crowley, TX 76036-3664 | 2012-09-28 |
| 1740500412 | Shannon Kelley | Psychologist | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2010-06-04 |
| Street Address |
1020 RIVERWOOD CT BLDG 1 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143344 | John Marshall Bragg | Counselor | 1020 Riverwood Ct, Conroe, TX 77304 | 2005-09-07 |
| 1124415880 | Lauren Mclean | Counselor | 1020 Riverwood Ct, Bldg 3, Conroe, TX 77304-2811 | 2015-04-21 |
| 1649609827 | Pei-fen Santistevan | Counselor | 1020 Riverwood Ct, Conroe, TX 77304-2811 | 2013-11-07 |
| 1093147506 | Kristi D Long | Counselor | 1020 Riverwood Ct, Bldg. 3, Conroe, TX 77304-2811 | 2013-08-07 |
| 1952682312 | John C. Sparks Jr. Md | Orthopaedic Surgery | 1020 Riverwood Ct, Suite 340, Conroe, TX 77304 | 2011-08-30 |
| 1164720561 | Stephen W Kitt | Social Worker | 1020 Riverwood Ct, Conroe, TX 77304-2811 | 2011-03-09 |
| 1831495456 | Sara L Bradfield | Counselor | 1020 Riverwood Ct, Conroe, TX 77304-2811 | 2011-01-28 |
| 1184928525 | Laurie Frankenfield | Counselor | 1020 Riverwood Ct, Bldg #1, Conroe, TX 77304-2811 | 2010-12-28 |
| 1326279472 | Stanley Willard Johnson | Counselor | 1020 Riverwood Ct, Conroe, TX 77304-2811 | 2009-08-06 |
| 1306025218 | Lisa Boyd | Psychiatry & Neurology | 1020 Riverwood Ct, Conroe, TX 77304-2811 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871032169 | Paula Curry | Counselor | 3513 North Frazier Street, Conroe, TX 77303 | 2017-02-20 |
| 1003244401 | Michelle L. Smith, Ma, Lpc | Counselor | 15200 Moonlight Trl, Conroe, TX 77384-3540 | 2013-10-22 |
| 1477721017 | Michel R Stamper | Counselor | 704 N Thompson St Ste 190, Conroe, TX 77301-2579 | 2008-02-18 |
| 1275680688 | Barbara Jean Flores | Counselor | 1110 N Loop 336 W Ste 330, Conroe, TX 77301-1197 | 2007-01-05 |
| 1518047364 | Ellen Suzanne Ferreira | Counselor | 702 N Thompson St, Conroe, TX 77301-2576 | 2006-10-16 |
| 1124132576 | Kimberly Ann Frenzel | Counselor | 19221 Interstate 45, Suite 440, Conroe, TX 77385 | 2006-08-19 |
| 1609817345 | Shunita Simone Young | Counselor | 510 Billie Bess Ln, Apt 116, Conroe, TX 77301-1303 | 2006-06-10 |
| 1710937594 | Lee Butcher Lancaster | Counselor | 513 N. Main St., Suite 118, Conroe, TX 77301 | 2006-05-11 |
| 1083608988 | Theresa M Burbank | Counselor | 112 West Pauline, Conroe, TX 77301 | 2005-09-07 |
| 1952928103 | Tarah Channan Cambron | Counselor | 15860 Old Conroe Rd, Conroe, TX 77384-3485 | 2020-07-02 |
| Find all providers in CONROE | ||||
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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.