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: July 19, 2026.

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

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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 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.Information from the official NPPES registry record, last updated September 11, 2025.

NPPES Registry Identity

NPI1720506769
Entity TypeIndividualFemale
Provider Legal NameSHANNON MARIE BRADSHAW
Location Address751 NORTHWEST BLVD STE 200Grandview, OH 43212-1977
Mailing Address896 Thomas RdColumbus, OH 43212-3717 · (614) 508-2019
Sole ProprietorYes
Enumeration DateAugust 30, 2017
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 23, 2022
NPI 1720506769 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Counselor · Addiction (Substance Use Disorder)

Taxonomy 101YA0400X · Behavioral Health & Social Service Providers

Also on File with NPPES

Secondary Location1
960 Boardman Canfield Rd
Boardman, OH 44512-4220
Phone (330) 259-8813 · Fax (220) 270-2690
Last updated in NPPES on September 11, 2025 · 3 updates tracked since enumeration.

Reviews for SHANNON MARIE BRADSHAW

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor
751 NORTHWEST BLVD STE 200
GRANDVIEW, OH 43212
Counselor (Mental Health)
751 NORTHWEST BLVD STE 200
GRANDVIEW, OH 43212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720506769, enumerated as an "individual" on August 30, 2017.

The provider is located at 751 NORTHWEST BLVD STE 200 GRANDVIEW, OH 43212 and the phone number is (614) 783-6010.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).