Active NPIIndividual provider

Shannon Blackwell

Counselor, Mental Health in Eugene, Oregon

NPI Number1891465290
Practice location
78 Centennial Loop Ste A, Eugene, OR 97401-7900
Fax
541-687-9279
Last updated
October 9, 2024

Shannon Blackwell is a Counselor, Mental Health based in Eugene, OR. The NPI number for Shannon Blackwell is 1891465290. The current practice location address is 78 Centennial Loop Ste A, Eugene, OR 97401-7900 and the office can be reached by phone at 541-393-0777 and by fax at 541-687-9279. The NPI was assigned on September 16, 2021 and the record was last updated in NPPES on October 9, 2024.

●Provider Profile Details

NPI Number
1891465290
Provider Name
Shannon Blackwell
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
September 16, 2021
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

◉Business Practice Location Address

Address
78 Centennial Loop Ste A
Eugene, OR 97401-7900
City
Eugene
State
Oregon
ZIP
97401-7900
Country
US
Phone Number
541-393-0777
Fax Number
541-687-9279

Get directions →

✉Business Mailing Address

Address
78 Centennial Loop Ste A
Eugene, OR 97401-7900
City
Eugene
State
OR
ZIP
97401-7900
Phone Number
541-393-0777
Fax Number
541-687-9279

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XNo——
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Shannon Blackwell?

The NPI number of Shannon Blackwell is 1891465290. It was assigned on September 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon Blackwell?

Shannon Blackwell is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Shannon Blackwell practice?

The practice location is 78 Centennial Loop Ste A, Eugene, OR 97401-7900. The office can be reached at 541-393-0777 (phone) or 541-687-9279 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891465290 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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