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SHANNON BLOODSAW
NPI 1295195519
Counselor in San Rafael, CA

Active since February 29, 2016
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903(415) 507-2000 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Bloodsaw NPPES

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

SHANNON BLOODSAW (NPI 1295195519) is an individual counselor in San Rafael, California and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1295195519
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON BLOODSAW
Location Address1 SAINT VINCENTS DRSan Rafael, CA 94903-1504
Mailing Address1 Saint Vincents DrSan Rafael, CA 94903-1504 · (415) 507-2000
Phone(415) 507-2000
Sole ProprietorYes
Enumeration DateFebruary 29, 2016
✔ NPI 1295195519 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.
1 SAINT VINCENTS DR, San Rafael, CA 94903
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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.

MARTINA BAKEBURA BAKILANA
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
MS. WENDY ALAIN CALOMIRIS MFTI
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4212
CORDELLERO DASHUN LEE
Counselor (Mental Health)
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
JENNIFER SIMMONS
Counselor
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
STACY FORD
Counselor (Mental Health)
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4262
MS. ANNE B DOLAN
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4248
MRS. REBECCA LIN YOPS
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4259
PAYTON ELIZABETH TONTZ MA, MFT
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000

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 Bloodsaw's NPI number?

The NPI number for Shannon Bloodsaw is 1295195519. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Shannon Bloodsaw located?

Shannon Bloodsaw practices at 1 Saint Vincents Dr, San Rafael, CA 94903. The listed phone number is (415) 507-2000.

What is Shannon Bloodsaw's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shannon Bloodsaw was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.