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SHANNON CARROLL
NPI 1043754955
Counselor - Mental Health in Hines, OR

Active since December 12, 2016
120 N ROANOKE, HINES, OR 97738(541) 573-1780(541) 573-1781 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Carroll NPPES

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

SHANNON CARROLL (NPI 1043754955) is an individual mental health provider in Hines, Oregon and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1043754955
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON CARROLL
Location Address120 N ROANOKEHines, OR 97738
Mailing Address348 W Adams StBurns, OR 97720-1710 · (541) 573-8376 · Fax (541) 573-8378
Phone(541) 573-1780
Fax(541) 573-1781
Sole ProprietorNo
Enumeration DateDecember 12, 2016
✔ NPI 1043754955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
120 N ROANOKE, Hines, OR 97738
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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 Carroll's NPI number?

The NPI number for Shannon Carroll is 1043754955. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Shannon Carroll located?

Shannon Carroll practices at 120 N Roanoke, Hines, OR 97738. The listed phone number is (541) 573-1780.

What is Shannon Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shannon Carroll was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.