SHANNON CLAY (NPI# 1649710153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649710153 |
| Entity Type | Individual |
| Full Name | SHANNON CLAY |
| Other Name | SHANNON MCLEOD |
| Credential | MS MHP |
| Practice Address |
1007 Koala Ave Omak WA 98841-9247 |
| Practice Telephone | 5098266191 |
| Practice Fax Number | 5098263029 |
| Mailing Telephone | 5098266191 |
| Mailing Fax Number | 5098263029 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CG60542705 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265994362 | Shannon Lea Clay | Student in an Organized Health Care Education/Training Program | 5300 N Meadows Dr, Grove City, OH 43123-2546 | 2019-04-05 |
| 1649515206 | Shannon Clay | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2012-12-06 |
| 1427324193 | Shannon Griffin Clay | Physician Assistant | 2261 N University Dr, Suite 200, Pembroke Pines, FL 33024-3623 | 2012-03-28 |
| Street Address |
1007 KOALA AVE |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235244096 | Kerry L Mayhew | Physician Assistant | 1007 Koala Ave, Omak, WA 98841-9247 | 2006-08-20 |
| 1083147565 | Nicholas L Newman | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2017-04-11 |
| 1114464948 | Cassandra Schuler | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2017-01-31 |
| 1023568359 | Danita L Baez | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2016-10-11 |
| 1679027551 | Colby Tyler Mathis | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2016-08-09 |
| 1326403775 | Carla Riley | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2015-12-29 |
| 1013382647 | Shari Lynn Goodson | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2015-12-08 |
| 1134597248 | Kathryn Olson | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2015-09-04 |
| 1831574680 | Jacquelyn Wiman | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2015-07-22 |
| 1194132829 | Lena Maples | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| Find all providers in zip 98841 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1992986301 | Vicki Lynn Bringman | Counselor | 104 S. Main, Unit 1913, Omak, WA 98841-1913 | 2007-11-14 |
| 1154324929 | Okanogan Behavioral Healthcare | Counselor | 107 W. Apple, Omak, WA 98841-3028 | 2005-05-24 |
| 1306486337 | Jennifer Vazquez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-01-07 |
| 1285273870 | Robbin E Kamphaus | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-12-30 |
| 1538620901 | Shirley Kuchta | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-03-28 |
| 1407363252 | Christian Lorz | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-01-02 |
| 1568980076 | Zachary Lopez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2017-09-05 |
| 1609394196 | Barbara E Tennant | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2017-09-05 |
| Find all providers in OMAK | ||||
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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.