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SHASTA PONDER
NPI 1639890015
Counselor - Addiction (Substance Use Disorder) in Portsmouth, OH

Active since September 06, 2022
411 COURT ST, PORTSMOUTH, OH 45662(740) 354-6685 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 18, 2026, Oct 20, 2022, Sep 6, 2022 (3 updates tracked since 2022).

About Shasta Ponder NPPES

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

SHASTA PONDER (NPI 1639890015) is an individual addiction (substance use disorder) provider in Portsmouth, Ohio, licensed in Ohio (CDCA.184368) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1639890015
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHASTA PONDER
Location Address411 COURT STPortsmouth, OH 45662-3932
Mailing Address411 Court StPortsmouth, OH 45662-3932 · (740) 354-6685
Phone(740) 354-6685
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1639890015 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.184368
411 COURT ST, Portsmouth, OH 45662
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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.

HEITH GRAY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
CHLOE BRASHEAR
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
TYSON COPLEY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SETH DIXON CMS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SHANNON GILLIAM
Case Manager/Care Coordinator
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
FREEDOM SCOTT
Licensed Practical Nurse
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
ANDREW JENKINS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
MELISSA KAY FISHER CDCA
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6968

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 Shasta Ponder's NPI number?

The NPI number for Shasta Ponder is 1639890015. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Shasta Ponder located?

Shasta Ponder practices at 411 Court St, Portsmouth, OH 45662. The listed phone number is (740) 354-6685.

What is Shasta Ponder'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 Shasta Ponder was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.