SHANNON PECKHAM


Address: 222 W Mission Ave, #104, Spokane, WA 99201-2344
Phone: 5096688070

SHANNON PECKHAM (NPI# 1518356005) 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) 1518356005
Entity Type Individual
Full Name SHANNON PECKHAM
Practice Address 222 W Mission Ave
#104
Spokane
WA 99201-2344
Practice Telephone 5096688070
Mailing Telephone 5096688070
Enumeration Date 2015-01-21
Last Update Date 2015-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LH00006173 WA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
FC00000162 WA Behavioral Health & Social Service Providers

Other Providers SHANNON PECKHAM

NPI Name Taxonomy Address Enumeration
1346570983 Shannon Lyn Peckham Speech-Language Pathologist 12527 Stone Tower Loop, Fort Myers, FL 33913-6781 2010-01-04

Office Location

Street Address 222 W MISSION AVE
#104
City SPOKANE
State WA
Zip Code 99201-2344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639201742 Walter Brundage Thompson Chiropractor 222 W Mission Ave, Suite 132, Spokane, WA 99201-2344 2007-03-12
1851933386 Joanna Rice Social Worker 222 W Mission Ave, Spokane, WA 99201-2344 2019-10-16
1073045241 Tiffany Ann Mullin I Counselor 222 W Mission Ave, Spokane, WA 99201-2344 2017-03-28
1427477645 Karen Contardo Counselor 222 W Mission Ave, Spokane, WA 99201-2344 2014-04-15
1356696884 Darci Lynn Sheridan Counselor 222 W Mission Ave, Suite 105, Spokane, WA 99201-2344 2012-07-20
1851688121 Rachel Baker Counseling Pllc Community/Behavioral Health 222 W Mission Ave, Suite 105, Spokane, WA 99201-2344 2011-07-06
1932428414 Rachel Baker Social Worker 222 W Mission Ave, Suite 105, Spokane, WA 99201-2344 2010-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517952 Maria Escobedo Counselor 1321 N. Ash, Spokane, WA 99201 2020-10-29
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1811594658 Kaaren Goeller-bloom Counselor 106 West Mission, Spokane, WA 99201 2020-10-05
1649732793 Marsha Rose Valenzuela Peer Specialist Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 2019-04-05
1770047896 Rachel Nicole Burns Counselor 1321 W. Broadway Ave, Spokane, WA 99201 2019-01-23
1760953384 Nicole Renee Breesnee Counselor 2308 W. 3rd Ave, Spokane, WA 99201 2018-12-07
1083184675 Alicia L Paschall Counselor 222 S Howard St, Apt 310, Spokane, WA 99201 2018-11-27
1003383159 Sandra Kay Robinson Counselor New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 2018-10-26
1801361191 Michael Joseph Lehman Naturopath 316 W Boone Ave Ste 777, Spokane, WA 99201 2018-10-12
1316422454 Cmdpn Medical Group of Washington, P.C. Emergency Medicine 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 2018-09-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043819550 Ginger Lee Grey Counselor 1325 W 1st Ave Ste 314, Spokane, WA 99201-4135 2020-10-26
1942808530 Hannah M. Smith Counselor 106 W. Mission Ave, Spokane, WA 99201-2337 2020-10-15
1659979870 Lisa Dawn Olson Counselor 327 W Montgomery Ave, Spokane, WA 99205-4737 2020-10-09
1811594658 Kaaren Goeller-bloom Counselor 106 West Mission, Spokane, WA 99201 2020-10-05
1255946695 Erik Brian Hildahl Counselor 514 E 22nd Ave, Spokane, WA 99203-2334 2020-09-12
1104439934 Kristin Penn, Ma, Lmhc (pllc) Counselor 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 2020-08-31
1740819416 Elizabeth Michele Wright Counselor 815 W 7th Ave Ste 200, Spokane, WA 99204-2839 2020-04-05
1609416890 Mychal Ferger Counselor 1411 W Garland Ave Ste A, Spokane, WA 99205-2614 2020-01-15
1922659630 Creative Harmony Counseling LLC Counselor 721 N Pines Road, Spokane, WA 99206 2019-09-24
1447711668 Elizabeth Cynthia Young Counselor 8727 Us-2, Spokane, WA 99224 2019-03-29
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Competitor

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City SPOKANE
Zip Code 99201

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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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