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SHANTILL LYNN MOODY
NPI 1245990381
Peer Specialist in The Dalles, OR

Active since December 29, 2021
1060 WEBBER ST, THE DALLES, OR 97058(541) 296-5452 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shantill Lynn Moody NPPES

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

SHANTILL LYNN MOODY (NPI 1245990381) is an individual peer specialist in The Dalles, Oregon and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1245990381
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANTILL LYNN MOODY
Location Address1060 WEBBER STThe Dalles, OR 97058-3749
Mailing Address1211 Murray Dr WThe Dalles, OR 97058-4610 · (541) 288-4852
Phone(541) 296-5452
Sole ProprietorNo
Enumeration DateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1245990381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1060 WEBBER ST, The Dalles, OR 97058
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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.

DIONNE R JUSTESEN
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
BRANDON THOMAS CHRISTIAN
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
CARINA MARTIN
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
GABRIELLE S. SWISHER LCSW, QMHA, B.A.
Social Worker
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MS. ELLEN BARBOUR QMHA
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MANAR ABOUL-NOUR LPC
Counselor (Professional)
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
APRIL GATCH
Counselor (Mental Health)
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MR. TERRILL DEAN ROGERS MA, LPC, CACIII
Counselor (Mental Health)
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452

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 Shantill Moody's NPI number?

The NPI number for Shantill Moody is 1245990381. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Shantill Moody located?

Shantill Moody practices at 1060 Webber St, The Dalles, OR 97058. The listed phone number is (541) 296-5452.

What is Shantill Moody's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shantill Moody was last updated on December 29, 2021. 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.