MS. KATHLEEN BRADLEY SHANNON (NPI# 1639480312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639480312 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN BRADLEY SHANNON |
| Credential | M.A. |
| Practice Address |
15 Jane Jacobs Rd Ste 102 Black Mountain NC 28711 |
| Mailing Address |
964 Holly Rd Black Mountain NC 28711-9709 |
| Practice Telephone | 8282437988 |
| Mailing Telephone | 8282437988 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1175 Carondelet Dr, Richland, WA 993543300 | 5099439104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831339258 | Kathleen Shannon | Speech-Language Pathologist | 1319 Daniel Ave, Norfolk, VA 23505-1723 | 2009-02-25 |
| 1225137219 | Kathleen Marie Shannon | Social Worker | 930 Trailwood Dr, Boardman, OH 44512-5007 | 2006-09-22 |
| 1952546491 | Kathleen K Shannon | Advanced Practice Midwife | 7301 Garland Ave, Takoma Park, MD 20912-6417 | 2008-12-12 |
| 1780749416 | Kathleen Noelle Shannon | Counselor | 18811 Huntington St, Suite 200, Huntington Beach, CA 92648 | 2006-12-22 |
| 1356435309 | Kathleen Anne Shannon | Counselor | 1204 Holly Lane, Glen Mills, PA 19342 | 2006-10-03 |
| 1407954357 | Kathleen Shannon | Physician Assistant | 940 Belmont St, Va Boston Healthcare System, Brockton, MA 02301-5596 | 2006-09-21 |
| 1023084027 | Kathleen Shannon | Social Worker | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2006-02-28 |
| 1396721767 | Kathleen M Shannon | Psychiatry & Neurology | 600 Highland Ave, Madison, WI 53792-0001 | 2005-12-19 |
| Street Address |
15 JANE JACOBS RD STE 102 |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710371240 | John Samuel Caprell | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711-8308 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| 1063507507 | James Thomas Lane | Physical Therapist | 49 Vance Ave., Black Mountain, NC 28711 | 2006-10-03 |
| Find all providers in zip 28711 | ||||
| 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 |
|---|---|---|---|---|
| 1649701285 | Alwin Edward Wagener Iv | Counselor | 101 N Ridgeway Ave, Black Mountain, NC 28711-3504 | 2017-03-24 |
| 1508190026 | Sarah Lynn Eisenhauer | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2009-09-30 |
| 1932356037 | Sandra Lee Mcclinton | Counselor | 137 Last Resort Ter, Black Mountain, NC 28711-8727 | 2008-08-20 |
| 1326159302 | Ellen Dimmock Begley | Counselor | 865b Blue Ridge Rd, Black Mountain, NC 28711-9773 | 2006-08-31 |
| 1710371240 | John Samuel Caprell | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711-8308 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
Please comment or provide details below to improve the information on MS. KATHLEEN BRADLEY SHANNON.
| 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.