SHANNON MERRILL (NPI# 1740748110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740748110 |
| Entity Type | Individual |
| Full Name | SHANNON MERRILL |
| Practice Address |
348 Ruby Ave Eugene OR 97404-2033 |
| Mailing Address |
1750 Nebraska Ave Grants Pass OR 97527-5700 |
| Practice Telephone | 5414613075 |
| Practice Fax Number | 5414611361 |
| Mailing Telephone | 5419564943 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
348 RUBY AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750615571 | Jean Mckenzie | Counselor | 348 Ruby Ave, Kairos Tempo Young Adult Services (rth), Eugene, OR 97404-2033 | 2009-09-25 |
| 1528665007 | Elliott Vanzandt | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2020-10-07 |
| 1821638107 | Andrew Hill | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2020-01-14 |
| 1831739101 | Dimitria Hawn | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2020-01-14 |
| 1194388728 | Daniel Katter | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2019-04-18 |
| 1194221309 | Erin Ellefsen | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2018-04-05 |
| 1861907842 | Gordon Oduor Okumu | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2017-12-12 |
| 1881103216 | Angela Marie Walton | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2017-09-28 |
| 1942733357 | Kayli Fisher | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2017-04-04 |
| 1073069233 | Laura Bakkensen | Counselor | 348 Ruby Ave, Eugene, OR 97404-2033 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| 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 |
|---|---|---|---|---|
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1689296113 | Ruby Joy Garcia | Counselor | 970 W 7th Ave, Eugene, OR 97402-4612 | 2020-05-06 |
| 1578118931 | Kindra Maline French | Counselor | 767 W 8th Ave, Eugene, OR 97402-5139 | 2019-08-02 |
| 1083272900 | Sarah Louise Stutzman | Counselor | Oregon Community Programs, 1170 Pearl St, Eugene, OR 97401-3541 | 2019-06-05 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1114412178 | Sarah Jane Kahler | Counselor | 3500 Chad Dr Ste 350, Eugene, OR 97408-7426 | 2018-06-22 |
| 1417444217 | White Bird Clinic | Counselor | 341 E. 12th, Eugene, OR 97401-3212 | 2018-04-17 |
| 1346747854 | White Bird Clinic | Counselor | 341 East 12th Ave, Eugene, OR 97401-3212 | 2018-04-11 |
| 1891292314 | White Bird Clinic | Counselor | 341 East 12th Avenue, Eugene, OR 97401-3212 | 2018-04-11 |
| 1992230940 | Michelle Maher | Counselor | 1060 Almaden St, Eugene, OR 97402-3739 | 2017-04-27 |
| Find all providers in EUGENE | ||||
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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.