SHADD CUNNINGHAM


Address: 2074 S 6th St, Klamath Falls, OR 97601-3372
Phone: 5418802011

SHADD CUNNINGHAM (NPI# 1508306259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508306259
Entity Type Individual
Full Name SHADD CUNNINGHAM
Practice Address 2074 S 6th St
Klamath Falls
OR 97601-3372
Practice Telephone 5418802011
Enumeration Date 2017-02-28
Last Update Date 2017-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 170061 05

Office Location

Street Address 2074 S 6TH ST
City KLAMATH FALLS
State OR
Zip Code 97601-3372

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336134055 Randall B Mayberry Dentist 2074 S 6th St, Klamath Falls, OR 97601-3372 2005-09-19
1245830132 Gabrielle Cornelia Registered Nurse 2074 S 6th St, Klamath Falls, OR 97601-3372 2020-10-29
1043810930 Tiffany Nicole Fregoso Registered Nurse 2074 S 6th St, Klamath Falls, OR 97601-3372 2020-10-29
1538788021 Rachel Marie Margis Dentist 2074 S 6th St, Klamath Falls, OR 97601-3372 2020-04-14
1255961462 Hannah Jayne Hayes Physician Assistant 2074 S 6th St, Klamath Falls, OR 97601-3372 2020-01-16
1912549544 Roy Robert Babb II Pharmacist 2074 S 6th St, Klamath Falls, OR 97601-3372 2019-10-15
1346882966 Tyler Dearing Pharmacist 2074 S 6th St, Klamath Falls, OR 97601-3372 2019-10-15
1740836238 Megan Ashley Mclean Dentist 2074 S 6th St, Klamath Falls, OR 97601-3372 2019-08-12
1518519800 Erin Welch Pharmacist 2074 S 6th St, Klamath Falls, OR 97601-3372 2019-07-16
1881164739 Ralph Emmanuel Taguba Clinic/Center 2074 S 6th St, Klamath Falls, OR 97601-3372 2018-12-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205487311 Socorro Guadalupe Alcala- Peres Case Manager/Care Coordinator 2210 N El Dorado Ave, Klamath Falls, OR 97601 2019-09-20
1033760053 Melissa Ann Roy Counselor 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 2019-09-20
1134699721 Kristin Asta Ragnarsson Speech-Language Pathologist Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 2018-11-27
1730667445 Nancy Leota Baley Pharmacist Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 2018-08-03
1336511260 Patricia Blauvelt Occupational Therapy Assistant 1401 Bryant Williams Dr, Klamath Falls, OR 97601 2015-10-30
1598160814 Christopher S. Turner Counselor 635 Main St., Klamath Falls, OR 97601 2014-10-29
1134472582 Whole Person Care Family Practice Family Medicine 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 2012-10-23
1255692687 Billy Dean Vermaas Physical Medicine & Rehabilitation 204 N. 10th Street, Klamath Falls, OR 97601 2012-06-01
1407140700 Wendell C Heidinger Md Family Medicine 2301 Clairmont Drive, Klamath Falls, OR 97601 2011-06-03
1740573146 Klamath Youh Department Center Community/Behavioral Health 2210 Eldordo Ave, Klamath Falls, OR 97601 2011-05-18
Find all providers in zip 97601

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205447851 Connect Restore Thrive Counseling Group Counselor 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 2020-08-16
1235682360 Tree of Life Christian Wilderness Expeditions Counselor 5728 S 6th St, Klamath Falls, OR 97603-5108 2016-07-25
1386810497 Jennifer Lynn Patzke Counselor 905 Main St Ste 607, Klamath Falls, OR 97601 2008-05-08
1194280776 Garrin Riddle Counselor 2555 Main St, Klamath Falls, OR 97601-2723 2019-02-07
1306364450 Emily Suzanne Shields Counselor 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2017-09-08
1780102822 Shelby Nicole Lee Counselor 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2017-09-08
1740705086 Rosana Chavolla-hernandez Counselor 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2017-08-08
1447775812 Cassi Lynn Props Counselor 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2017-08-07
1720503196 Diane Elizabeth Tiffee Counselor 2210 N Eldorado Ave, Klamath Falls, OR 97601 2017-08-07
1023557121 Kyra Giffen Counselor 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2017-02-22
Find all providers in KLAMATH FALLS

Competitor

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City KLAMATH FALLS
Zip Code 97601

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Dataset Information

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.

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