SHANNON MARIE BUCKLEY CDCA
NPI 1205241858
Counselor - Addiction (Substance Use Disorder) in Austintown, OH
About Shannon Marie Buckley Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MARIE BUCKLEY CDCA (NPI 1205241858) is an individual addiction (substance use disorder) provider in Austintown, Ohio, licensed in Ohio (CDCA.163020) and active in the NPI registry since June 2014.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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.
AUSTINTOWN, OH 44515
AUSTINTOWN, OH 44515
AUSTINTOWN, OH 44515
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 Buckley's NPI number?
The NPI number for Shannon Buckley is 1205241858. It was assigned to this individual provider in the NPPES registry on June 23, 2014.
Where is Shannon Buckley located?
Shannon Buckley practices at 45 N Canfield Niles Rd, Austintown, OH 44515. The listed phone number is (330) 270-2380.
What is Shannon Buckley'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 Buckley was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shannon Marie Buckley, CDCA · NPI 1205241858
Addiction (Substance Use Disorder) provider in Austintown, Ohio. Individual provider, active in the CMS NPPES registry since June 23, 2014.
## Identity
- **NPI:** 1205241858 (Entity type: Individual)
- **Enumerated:** June 23, 2014
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** CDCA.163020 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 45 N CANFIELD NILES RD, Austintown, OH 44515-2343
- **Phone:** (330) 270-2380
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 0080934 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1205241858) · Data from the CMS NPPES public registry.