Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON GILLIAM
NPI 1013709948
Peer Specialist in Portsmouth, OH

Active since May 19, 2025
411 COURT ST, PORTSMOUTH, OH 45662(740) 354-6685(740) 876-4005 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, May 19, 2025 (2 updates tracked since 2025).

About Shannon Gilliam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON GILLIAM (NPI 1013709948) is an individual peer specialist in Portsmouth, Ohio, licensed in Kentucky (PRS.008155) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1013709948
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANNON GILLIAM
Location Address411 COURT STPortsmouth, OH 45662-3932
Mailing Address411 Court StPortsmouth, OH 45662-3932 · (740) 354-6685 · Fax (740) 876-4005
Fax(740) 876-4005
Sole ProprietorNo
Enumeration DateMay 19, 2025
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1013709948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in KY · PRS.008155
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 2025 (OH)
411 COURT ST, Portsmouth, OH 45662

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Licensed Practical Nurse
411 COURT ST
PORTSMOUTH, OH 45662
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Gilliam's NPI number?

The NPI number for Shannon Gilliam is 1013709948. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Shannon Gilliam located?

Shannon Gilliam practices at 411 Court St, Portsmouth, OH 45662. The listed phone number is (740) 354-6685.

What is Shannon Gilliam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shannon Gilliam was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.