JAMIE SHANNON
NPI 1144635509
Counselor in Espanola, NM

Active since June 24, 2014
404 HUNTER ST, ESPANOLA, NM 87532(505) 753-4123(505) 753-6947 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jamie Shannon NPPES

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

JAMIE SHANNON (NPI 1144635509) is an individual counselor in Espanola, New Mexico and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1144635509
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJAMIE SHANNON
Location Address404 HUNTER STEspanola, NM 87532-2655
Mailing Address404 Hunter StEspanola, NM 87532-2655 · (505) 753-4123 · Fax (505) 753-6947
Fax(505) 753-6947
Sole ProprietorNo
Enumeration DateJune 24, 2014
NPI 1144635509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

404 HUNTER ST, Espanola, NM 87532

Other Identifiers 1

MedicaidE7436NM

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.

Social Worker
404 HUNTER ST
ESPANOLA, NM 87532
Behavior Analyst
404 HUNTER ST
ESPANOLA, NM 87532
Behavior Analyst
404 HUNTER ST
ESPANOLA, NM 87532
Case Manager/Care Coordinator
404 HUNTER ST
ESPANOLA, NM 87532
Counselor (Mental Health)
404 HUNTER ST
ESPANOLA, NM 87532
Behavior Analyst
404 HUNTER ST
ESPANOLA, NM 87532
Social Worker
404 HUNTER ST
ESPANOLA, NM 87532
Counselor (Mental Health)
404 HUNTER ST
ESPANOLA, NM 87532

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144635509, enumerated as an "individual" on June 24, 2014.

The provider is located at 404 HUNTER ST ESPANOLA, NM 87532 and the phone number is (505) 753-4123.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.