AMANDA A SHANNON
NPI 1063904365
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since June 01, 2018
2611 WAYNE AVE, DAYTON, OH 45420(937) 256-7801 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda A Shannon NPPES

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

AMANDA A SHANNON (NPI 1063904365) is an individual addiction (substance use disorder) provider in Dayton, Ohio and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1063904365
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA A SHANNON
Location Address2611 WAYNE AVEDayton, OH 45420-1833
Mailing Address2611 Wayne AveDayton, OH 45420-1833 · (937) 256-7801
Sole ProprietorYes
Enumeration DateJune 1, 2018
NPI 1063904365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2611 WAYNE AVE, Dayton, OH 45420

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.

Licensed Practical Nurse
2611 WAYNE AVE
DAYTON, OH 45420
Licensed Practical Nurse
2611 WAYNE AVE
DAYTON, OH 45420
Counselor (Addiction (Substance Use Disorder))
2611 WAYNE AVE
DAYTON, OH 45420
Registered Nurse (Psychiatric/Mental Health)
2611 WAYNE AVE
DAYTON, OH 45420
Pharmacy (Institutional Pharmacy)
2611 WAYNE AVE
DAYTON, OH 45420
Licensed Practical Nurse
2611 WAYNE AVE
DAYTON, OH 45420
Psychiatric Hospital
2611 WAYNE AVE
DAYTON, OH 45420
Counselor
2611 WAYNE AVE, BUILDING #66
DAYTON, OH 45420

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 Amanda Shannon's NPI number?

The NPI number for Amanda Shannon is 1063904365. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Amanda Shannon located?

Amanda Shannon practices at 2611 Wayne Ave, Dayton, OH 45420. The listed phone number is (937) 256-7801.

What is Amanda Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Amanda Shannon was last updated on June 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.