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SHANNON NOEL ROBERTS
NPI 1205651965
Counselor - Mental Health in Portland, OR

Active since November 18, 2024
5725 NE PRESCOTT ST, PORTLAND, OR 97218(503) 402-8101 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Noel Roberts NPPES

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

SHANNON NOEL ROBERTS (NPI 1205651965) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1205651965
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON NOEL ROBERTS
Location Address5725 NE PRESCOTT STPortland, OR 97218-2275
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 402-8101
Sole ProprietorNo
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1205651965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5725 NE PRESCOTT ST, Portland, OR 97218
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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.

CELESTE LOUISE SCHWAB
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
CHRISTOPHER RYAN GAGE
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
KIARA SHAKIR TAYLOR
Case Manager/Care Coordinator
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
EZRA VIVEC NETHRUNIL
Adult Companion
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GERALDINE KATHY VAN BUSKIRK
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GLORIA WILLIS
Social Worker
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
JESSICA ANTOINETTE NICHOLAS
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
ALVIN RUSSELL
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101

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 Roberts's NPI number?

The NPI number for Shannon Roberts is 1205651965. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Shannon Roberts located?

Shannon Roberts practices at 5725 NE Prescott St, Portland, OR 97218. The listed phone number is (503) 402-8101.

What is Shannon Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shannon Roberts was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.