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SHANNON MARIE HUMPHREY CDCA
NPI 1407628308
Counselor - Addiction (Substance Use Disorder) in Lorain, OH

Active since October 24, 2023
2115 W PARK DR, LORAIN, OH 44053(440) 989-4900 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Marie Humphrey Cdca NPPES

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

SHANNON MARIE HUMPHREY CDCA (NPI 1407628308) is an individual addiction (substance use disorder) provider in Lorain, Ohio, licensed in Ohio (CDCA.184370) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1407628308
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON MARIE HUMPHREYCredential: CDCA
Location Address2115 W PARK DRLorain, OH 44053-1138
Mailing Address2115 W Park DrLorain, OH 44053-1138
Phone(440) 989-4900
Sole ProprietorYes
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1407628308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.184370
2115 W PARK DR, Lorain, OH 44053
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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.

EMILY WINFIELD OCPSA.161655
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
RACHEL RUPERT LPN
Licensed Practical Nurse
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
KENNEDY FAITH WILBERT CYPS, OCPSA
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
REBECCA A MANGOL RN
Registered Nurse (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
LAURIE JONES CDCA
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4905
LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC.
Community/Behavioral Health
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 282-4777
PAULA LYN MINCH RN
Registered Nurse
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
DEREK BENTOFF CDCA
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900

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 Humphrey's NPI number?

The NPI number for Shannon Humphrey is 1407628308. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Shannon Humphrey located?

Shannon Humphrey practices at 2115 W Park Dr, Lorain, OH 44053. The listed phone number is (440) 989-4900.

What is Shannon Humphrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Humphrey was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.