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KILEY ANN SHANNON
NPI 1629562426
Counselor - Mental Health in Eugene, OR

Active since June 15, 2018
499 W 4TH AVE, EUGENE, OR 97401(541) 686-1262 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2019, Jun 15, 2018 (2 updates tracked since 2018).

About Kiley Ann Shannon NPPES

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

KILEY ANN SHANNON (NPI 1629562426) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since June 2018. She maintains a secondary practice location in Eugene.

NPPES Registry Identity

NPI1629562426
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKILEY ANN SHANNON
Location Address499 W 4TH AVEEugene, OR 97401-2505
Mailing Address499 W 4th AveEugene, OR 97401-2505 · (541) 368-6126
Phone(541) 686-1262
Sole ProprietorNo
Enumeration DateJune 15, 2018
Last NPPES UpdateApril 16, 20192 updates tracked since enumeration
✔ NPI 1629562426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
499 W 4TH AVE, Eugene, OR 97401
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Secondary Practice Location 1

Location 12517 Mlk Jr BlvdEugene, OR 97401-5898 · Phone (541) 342-4293 · Fax (541) 342-4832

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.

THERESE KOENIG REED R.N., N.H.A.
Counselor (Mental Health)
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
COREY KIYABU
Counselor (Mental Health)
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
ANDREW HAGEN
Counselor (Mental Health)
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
ALEX A. GEISLER
Counselor (Mental Health)
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
TANIA PREDOVIC
Counselor (Mental Health)
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
FREDERICK SCOTT MONINGER
Peer Specialist
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
KELLI JOEL RAY
Peer Specialist
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262
JEANNINE REVOE VASILIE
Counselor (Mental Health)
499 W 4TH AVE
EUGENE, OR 97401
Lane County (541) 686-1262

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 Kiley Shannon's NPI number?

The NPI number for Kiley Shannon is 1629562426. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Kiley Shannon located?

Kiley Shannon practices at 499 W 4th Ave, Eugene, OR 97401. The listed phone number is (541) 686-1262.

What is Kiley Shannon's specialty?

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

When was this NPI record last updated?

The NPPES record for Kiley Shannon was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.