SHANNON ALYSE COLLARD
NPI 1881399483
Peer Specialist in Brookings, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since April 03, 2023

615 5TH ST # 300, BROOKINGS, OR 97415(877) 408-8941 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2025, Apr 3, 2023 (2 updates tracked since 2023).

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About Shannon Alyse Collard NPPES

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

SHANNON ALYSE COLLARD (NPI 1881399483) is an individual peer specialist in Brookings, Oregon and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1881399483

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameSHANNON ALYSE COLLARD

Location Address615 5TH ST # 300Brookings, OR 97415-9199

Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691

Phone(877) 408-8941

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1881399483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

615 5TH ST # 300, Brookings, OR 97415

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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.

ZENA HALE GARCIA

Case Manager/Care Coordinator