SHANNON PHILLIPS (NPI# 1952671927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952671927 |
| Entity Type | Individual |
| Full Name | SHANNON PHILLIPS |
| Other Name | SHANNON MATTINGLY |
| Credential | MS, LPC |
| Practice Address |
4455 Ne Highway 20 Corvallis OR 97330-9695 |
| Practice Telephone | 5417571852 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C4758 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528531845 | Shannon Phillips | Technician | 215 Fitchburg St Sw, Palm Bay, FL 32908-1302 | 2019-01-09 |
| 1861962656 | Shannon Phillips | Speech-Language Pathologist | 2119 Pocomoke Beltway, Pocomoke City, MD 21851-3025 | 2018-12-05 |
| 1598268716 | Shannon Phillips | Nutritionist | 3687 E Geddes Ave, Centennial, CO 80122-2202 | 2018-03-14 |
| 1366864381 | Shannon Phillips | Rehabilitation Practitioner | 935 Cantabria Heights Ave, Las Vegas, NV 89183-4646 | 2014-01-10 |
| 1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
| 1134669401 | Shannon Phillips | Social Worker | 303 N Madison St, Corinth, MS 38834-5072 | 2017-03-06 |
| 1447607668 | Shannon Phillips | Case Manager/Care Coordinator | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-05-17 |
| 1245696228 | Shannon Phillips | Nurse Practitioner | 1701 S Florissant Rd, Saint Louis, MO 63121-1131 | 2016-01-06 |
| 1679949648 | Shannon Phillips | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-08-13 |
| 1710258678 | Shannon Elizabeth Phillips | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-24 |
| Street Address |
4455 NE HIGHWAY 20 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884690 | Timothy Joseph Catlow | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2006-09-21 |
| 1609477561 | Brock Van Dyke | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1518568476 | Julia Di Simone | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1336740299 | Sabrina Michelle Watkins | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1245831106 | Hope Trautman | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1932700028 | Hayley Boss | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-04 |
| 1477154714 | Ashley Merback | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1396346631 | Mikayla Alberta Calvery | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1750982096 | Christine Turner | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1831790179 | Madison Elysse Weekly | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409671 | Allison Sullivan LLC | Counselor | 993 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2020-02-19 |
| 1235524448 | Monica Renee Shaw | Counselor | 887 Nw Grant Ave, Corvallis, OR 97330-4539 | 2015-04-03 |
| 1063815264 | Catherine Walker | Counselor | 2300 Nw Walnut Blvd, Corvallis, OR 97330 | 2014-10-01 |
| 1477824779 | Lise Anne Verhoogen Odden | Counselor | Grant Professional Business Center, 887 Nw Grant Ave., Corvallis, OR 97330 | 2012-01-18 |
| 1265734974 | Allison Sullivan | Counselor | 500 Snell Hall, Corvallis, OR 97331-8593 | 2010-12-01 |
| 1508187840 | Colleen Sue Webb | Counselor | 685 Nw 5th St, Suite A, Corvallis, OR 97330-6462 | 2010-06-22 |
| 1659690428 | John Leroy Swanson | Counselor | 260 Sw Madison Ave Ste 107, Corvallis, OR 97333-4728 | 2010-05-19 |
| 1528105186 | Debra Carriere | Counselor | 408 Sw Monroe Ave, Suite M210f, Corvallis, OR 97333-7210 | 2007-01-31 |
| 1588227540 | Center for Developing Hope | Counselor | 2075 Nw Grant Ave, Corvallis, OR 97330-4366 | 2019-04-16 |
| 1164918132 | Brie Buck | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-07-02 |
| Find all providers in CORVALLIS | ||||
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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.