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SHANNON L SAMPLES TBS COORDINATOR
NPI 1316087307
Counselor in Upper Lake, CA

Active since February 07, 2007
9860 MIDDLE CREEK RD, UPPER LAKE, CA 95485(707) 275-8166(707) 275-8168 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon L Samples Tbs Coordinator NPPES

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

SHANNON L SAMPLES TBS COORDINATOR (NPI 1316087307) is an individual counselor in Upper Lake, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1316087307
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON L SAMPLESCredential: TBS COORDINATOR
Location Address9860 MIDDLE CREEK RDUpper Lake, CA 95485-9265
Mailing Address8357 Saddle RdKelseyville, CA 95451-7847
Phone(707) 275-8166
Fax(707) 275-8168
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316087307 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.
9860 MIDDLE CREEK RD, Upper Lake, CA 95485
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APRIL D BYERLY MH REHAB SPECIALIST
Counselor
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166
WENDY GROSHONG REHAB SPEC
Counselor
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166
VIRGINA L PRICE MH REHAB SPEC
Counselor
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166
RAYNA S FREEDMAN MFT INTERN
Marriage & Family Therapist
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166
KATHRYN C REISIG MFT
Marriage & Family Therapist
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166
ELIZABETH M CUMINGS MHRS
Counselor
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 472-2922
SHANTI R GALLON CASE MGR / HSW
Case Manager/Care Coordinator
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166
KIM A ABELSON MFT
Marriage & Family Therapist
9860 MIDDLE CREEK RD
UPPER LAKE, CA 95485
Lake County (707) 275-8166

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 Samples's NPI number?

The NPI number for Shannon Samples is 1316087307. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Shannon Samples located?

Shannon Samples practices at 9860 Middle Creek Rd, Upper Lake, CA 95485. The listed phone number is (707) 275-8166.

What is Shannon Samples'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 Samples was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.