MS. SHANNON RAE CANTRELL SUDP
NPI 1083181648
Counselor - Addiction (Substance Use Disorder) in Poulsbo, WA

Active since October 31, 2018
19045 STATE HIGHWAY 305 NE STE 190, POULSBO, WA 98370(360) 876-9430(360) 598-4114 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Aug 19, 2024, Oct 31, 2018 (3 updates tracked since 2018).

About Ms. Shannon Rae Cantrell Sudp NPPES

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

MS. SHANNON RAE CANTRELL SUDP (NPI 1083181648) is an individual addiction (substance use disorder) provider in Poulsbo, Washington, licensed in Washington (CP60938713) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1083181648
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SHANNON RAE CANTRELLCredential: SUDP
Location Address19045 STATE HIGHWAY 305 NE STE 190Poulsbo, WA 98370-7312
Mailing Address19045 State Highway 305 Ne Ste 190Poulsbo, WA 98370-7312 · (360) 876-9430 · Fax (360) 598-4114
Fax(360) 598-4114
Sole ProprietorNo
Enumeration DateOctober 31, 2018
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1083181648 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
License Licensed in WA · CP60938713
19045 STATE HIGHWAY 305 NE STE 190, Poulsbo, WA 98370

Other Names 1

Former Name (1)Miss Shannon Rae Barker Cdpt

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
19045 STATE HIGHWAY 305 NE STE 190
POULSBO, WA 98370
Massage Therapist
19045 STATE HIGHWAY 305 NE STE 190
POULSBO, WA 98370
Counselor (Addiction (Substance Use Disorder))
19045 STATE HIGHWAY 305 NE STE 190
POULSBO, WA 98370
Specialist
19045 STATE HIGHWAY 305 NE STE 190
POULSBO, WA 98370
Massage Therapist
19045 STATE HIGHWAY 305 NE STE 190
POULSBO, WA 98370
Massage Therapist
19045 STATE HIGHWAY 305 NE STE 190
POULSBO, WA 98370

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 Cantrell's NPI number?

The NPI number for Shannon Cantrell is 1083181648. It was assigned to this individual provider in the NPPES registry on October 31, 2018. The provider is also known as Miss Shannon Rae Barker Cdpt.

Where is Shannon Cantrell located?

Shannon Cantrell practices at 19045 State Highway 305 NE Ste 190, Poulsbo, WA 98370. The listed phone number is (360) 876-9430.

What is Shannon Cantrell'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 Shannon Cantrell was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.