SHANNON MARIE BROUSSARD-BUENO LAC
NPI 1386430692
Counselor - Mental Health in Portland, OR

Q: What is Shannon Broussard-bueno's NPI number?

The NPI number for Shannon Broussard-bueno is 1386430692. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Q: What is Shannon Broussard-bueno's specialty?

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

Active since April 15, 2025

5441 S MACADAM AVE STE 4561, PORTLAND, OR 97239(337) 717-0401 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, May 16, 2025 (2 updates tracked since 2025).

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About Shannon Marie Broussard-bueno Lac NPPES

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

SHANNON MARIE BROUSSARD-BUENO LAC (NPI 1386430692) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R10988) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1386430692

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHANNON MARIE BROUSSARD-BUENOCredential: LAC

Location Address5441 S MACADAM AVE STE 4561Portland, OR 97239-6106

Mailing Address5441 S Macadam Ave Ste 4561Portland, OR 97239-6106 · (337) 717-0401

Phone(337) 717-0401

Sole ProprietorYes

Enumeration DateApril 15, 2025

Last NPPES UpdateMay 19, 20252 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1386430692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · R10988

5441 S MACADAM AVE STE 4561, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Broussard-bueno's NPI number?

The NPI number for Shannon Broussard-bueno is 1386430692. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Shannon Broussard-bueno located?

Shannon Broussard-bueno practices at 5441 S Macadam Ave Ste 4561, Portland, OR 97239. The listed phone number is (337) 717-0401.

What is Shannon Broussard-bueno's specialty?

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

What insurance does Shannon Broussard-bueno accept?

Health plans from Moda Health Plan, Inc. list Shannon Broussard-bueno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Broussard-bueno was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.