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SHANNON MARIE BRADSHAW
NPI 1720506769
Counselor - Addiction (Substance Use Disorder) in Grandview, OH

Active since August 30, 2017
751 NORTHWEST BLVD STE 200, GRANDVIEW, OH 43212(614) 783-6010 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 11, 2025, Sep 23, 2022, Aug 30, 2017 (3 updates tracked since 2017).

About Shannon Marie Bradshaw NPPES

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

SHANNON MARIE BRADSHAW (NPI 1720506769) is an individual addiction (substance use disorder) provider in Grandview, Ohio and active in the NPI registry since August 2017. She maintains a secondary practice location in Boardman.

NPPES Registry Identity

NPI1720506769
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON MARIE BRADSHAW
Location Address751 NORTHWEST BLVD STE 200Grandview, OH 43212-1977
Mailing Address896 Thomas RdColumbus, OH 43212-3717 · (614) 508-2019
Phone(614) 783-6010
Sole ProprietorYes
Enumeration DateAugust 30, 2017
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1720506769 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

Secondary Practice Location 1

Location 1960 Boardman Canfield RdBoardman, OH 44512-4220 · Phone (330) 259-8813 · Fax (220) 270-2690

Other Providers at the Same Location NPPES 2

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

COURTNEY MONTANYE CT
Counselor
751 NORTHWEST BLVD STE 200
GRANDVIEW, OH 43212
Franklin County (614) 783-6010
THEMBA MSISHA
Counselor (Mental Health)
751 NORTHWEST BLVD STE 200
GRANDVIEW, OH 43212
Franklin County (740) 860-9943

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 Bradshaw's NPI number?

The NPI number for Shannon Bradshaw is 1720506769. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Shannon Bradshaw located?

Shannon Bradshaw practices at 751 Northwest Blvd Ste 200, Grandview, OH 43212. The listed phone number is (614) 783-6010.

What is Shannon Bradshaw'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 Bradshaw was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.