MRS. SHANNON RENEA GANDER LMFT-INTERN
NPI 1104458645
Marriage & Family Therapist in Oregon City, OR

Active since February 11, 2020PECOS EnrolledAccepts Medicare Assignment
1300 JOHN ADAMS ST, OREGON CITY, OR 97045(503) 606-8615 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shannon Renea Gander Lmft-intern NPPES

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

MRS. SHANNON RENEA GANDER LMFT-INTERN (NPI 1104458645) is an individual marriage & family therapist in Oregon City, Oregon, licensed in Oregon (R5780) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104458645
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SHANNON RENEA GANDERCredential: LMFT-INTERN
Location Address1300 JOHN ADAMS STOregon City, OR 97045-1695
Mailing Address22932 Sw Washington StSherwood, OR 97140-7093 · (503) 419-8357
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 11, 2020
NPI 1104458645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in OR · R5780
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1300 JOHN ADAMS ST, Oregon City, OR 97045

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon Renea Gander Lmft-intern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335581222
PECOS Enrollment IDI20240523001335
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Acupuncturist
1300 JOHN ADAMS ST, STE 119
OREGON CITY, OR 97045
Counselor (Professional)
1300 JOHN ADAMS ST, SUITE 103
OREGON CITY, OR 97045
Counselor (Professional)
1300 JOHN ADAMS ST, STE. 120
OREGON CITY, OR 97045
Counselor (Mental Health)
1300 JOHN ADAMS ST
OREGON CITY, OR 97045
Clinic/Center
1300 JOHN ADAMS ST, STE 119
OREGON CITY, OR 97045
Counselor (Professional)
1300 JOHN ADAMS ST
OREGON CITY, OR 97045

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 Gander's NPI number?

The NPI number for Shannon Gander is 1104458645. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Shannon Gander located?

Shannon Gander practices at 1300 John Adams St, Oregon City, OR 97045. The listed phone number is (503) 606-8615.

What is Shannon Gander's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Shannon Gander enrolled in Medicare?

Yes. Shannon Gander is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Gander accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shannon Gander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Gander was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.