DR. THEODORE PAUL SHANNON (NPI# 1992085831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992085831 |
| Entity Type | Individual |
| Full Name | DR. THEODORE PAUL SHANNON |
| Credential | PHD, MS |
| Practice Address |
1035 Proprietors Rd Worthington OH 43085-3230 |
| Practice Telephone | 6147851115 |
| Practice Fax Number | 6147850095 |
| Mailing Telephone | 6147851115 |
| Mailing Fax Number | 6147850095 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C 0700153 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477072205 | Theodore Philip Shannon | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2017-09-13 |
| Street Address |
1035 PROPRIETORS RD |
| City | WORTHINGTON |
| State | OH |
| Zip Code | 43085-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922031988 | Central Ohio Counseling Inc. | Social Worker | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2006-07-09 |
| 1497046841 | Edan Gilat | Psychiatry & Neurology | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2011-04-20 |
| 1861781148 | Allison Laura Smith | Counselor | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2011-04-07 |
| 1922309871 | Christopher Michael Nadorff | Psychiatry & Neurology | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2010-11-09 |
| 1144411471 | Anthony D Martin | Psychiatry & Neurology | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2007-08-01 |
| 1407047764 | Deborah Flath Anderson | Psychologist | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2007-08-01 |
| 1235209818 | Joseph Gerard Lalonde | Psychiatry & Neurology | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2006-11-09 |
| 1417027798 | Linda S Six | Counselor | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2006-11-08 |
| 1093892937 | Elaine Rentel | Social Worker | 1035 Proprietors Rd, Worthington, OH 43085-3230 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901468 | Natalia Tehan | Technician | 6417 Linworth Rd, Worthington, OH 43085 | 2020-04-22 |
| 1114546033 | Shelby Kaye Breneman | Case Manager/Care Coordinator | 445 E. Dublin Gradville Rd., Worthington, OH 43085 | 2020-04-10 |
| 1366919144 | Halle Kleiber | Behavior Technician | 455 E Dublin Granville Road, Worthington, OH 43085 | 2018-10-30 |
| 1184119943 | Debbie Elizabeth Costello | Foster Care Agency | 5655 North High St., Columbus, OH 43085 | 2018-06-25 |
| 1700389186 | Audrey Kathryn Eichenlaub | Dentist | 6641 N High St Ste 101, Worthington, OH 43085 | 2018-03-13 |
| 1568971828 | Sharon Cooley-burdine | Registered Nurse | 495 Englander Court, Worthington, OH 43085 | 2017-09-29 |
| 1487183885 | Kathleen Marie Hussein | Social Worker | 445 East Dublin-granville Road, Columbus, OH 43085 | 2017-06-08 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1346692431 | Julie H. Richards | Counselor | 870 High Street, Suite 203, Worthington, OH 43085 | 2016-07-12 |
| 1922452796 | Penny Anne Coons | Pharmacist | 866 Loch Lomond Lane, Worthington, OH 43085 | 2016-04-19 |
| Find all providers in zip 43085 | ||||
| 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 |
|---|---|---|---|---|
| 1134417744 | Jill Lam | Counselor | 6660 N High St Ste 2d, Worthington, OH 43085-2537 | 2011-07-16 |
| 1003031048 | Richard Mague | Counselor | 75 E Wilson Bridge Rd, Ste 4c, Worthington, OH 43085-2362 | 2007-04-16 |
| 1710526132 | Tim Graham | Counselor | 7140 N High St Ste 250, Worthington, OH 43085-2330 | 2020-01-02 |
| 1316404890 | Angelique Hardwick | Counselor | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2019-02-21 |
| 1740766682 | Megan Vinco | Counselor | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2018-07-13 |
| 1841799251 | Tyler Hudson | Counselor | 7140 N High St Ste 250, Worthington, OH 43085-2330 | 2018-02-12 |
| 1275983785 | Nina Griffin | Counselor | 1033 High St, Worthington, OH 43085-4026 | 2016-06-15 |
| 1245604677 | Kristine M. Carson | Counselor | 6797 N High St Ste 350, Worthington, OH 43085 | 2015-11-23 |
| 1104101476 | Nancy J. Pelphrey | Counselor | 6797 N High St, Suite 212, Worthington, OH 43085-2533 | 2011-10-18 |
| 1457653289 | Zeller & Associates Eap | Counselor | 6797 N High St, Suite 223, Worthington, OH 43085-2533 | 2010-11-30 |
| Find all providers in WORTHINGTON | ||||
| City | WORTHINGTON |
| Zip Code | 43085 |
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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.