SHANNON POWELL (NPI# 1861943433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861943433 |
| Entity Type | Individual |
| Full Name | SHANNON POWELL |
| Practice Address |
4019 Greenwood Rd Shreveport LA 71109-6422 |
| Practice Telephone | 3186265462 |
| Practice Fax Number | 3186265562 |
| Mailing Telephone | 3186265462 |
| Mailing Fax Number | 3186265562 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639676828 | Shannon Marie Powell | Counselor | 3715 N 104th Ave, Omaha, NE 68134-3790 | 2018-04-12 |
| 1578589511 | Shannon E Powell | Social Worker | 2445 Galtier St, Roseville, MN 55113 | 2006-07-14 |
| 1316585144 | Shannon Marie Powell | Behavior Technician | 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 | 2019-12-11 |
| 1164889259 | Shannon Powell | Dietitian, Registered | 3601 5th Ave, Suite 1b, Room 145-b, Pittsburgh, PA 15213-3403 | 2016-01-21 |
| 1659748697 | Shannon Powell | Rehabilitation Practitioner | 6055 E Washington Blvd Ste 900, Commerce, CA 90040-2453 | 2015-08-25 |
| 1376892976 | Shannon Colleen Powell | Social Worker | 1110 Major Ave, Riverton, WY 82501 | 2012-08-29 |
| 1093071250 | Shannon K Powell | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-02 |
| 1720307028 | Shannon Powell | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2010-05-26 |
| 1528221603 | Shannon M Powell | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2008-07-08 |
| 1700067477 | Shannon M Powell | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2007-11-21 |
| Street Address |
4019 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1306316583 | Theresa Lafaye Mims-bell | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2018-11-29 |
| 1538649173 | Britney Page | Case Manager/Care Coordinator | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2018-08-14 |
| 1134613060 | Debra Cannon | Case Manager/Care Coordinator | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2018-06-14 |
| 1093233926 | Darell Cottonham | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2017-08-30 |
| 1760915292 | Vernissia Waldrup | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2017-04-11 |
| 1700326899 | Nacara Hallmon | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2017-03-08 |
| 1639619554 | Brenda Ray | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2017-02-24 |
| 1649710567 | Paula Lott | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2017-02-24 |
| 1013456458 | Tarfarrie Babers | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| 1316982499 | Shreveport Oxygen & Rental, LLC | Durable Medical Equipment & Medical Supplies | 5150 Interstate Dr., Ste. 216, Shreveport, LA 71109 | 2006-06-20 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
Please comment or provide details below to improve the information on SHANNON POWELL.
| 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.