Individual provider Active NPI

Shannon Batts, M.S, L.M.F.T., LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1043420300
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2379 Issued in OR
Practice address
1720 NW Lovejoy St Ste 115
Portland, OR 97209-2346
Phone
(503) 348-0405
NPI assigned
May 23, 2007
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2379 OR Primary
Marriage & Family Therapist 106H00000X 34477 CA

Addresses

Primary practice location

1720 NW Lovejoy St Ste 115
Portland, OR 97209-2346

Mailing address

4316 NE Alberta CT
Portland, OR 97218-1528
Phone (503) 348-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C2379ORMDProfessional Counselor
34477CAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1043420300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 NE ALBERTA CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181528",
            "telephone_number": "503-348-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NW LOVEJOY ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092346",
            "telephone_number": "503-348-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTS",
        "first_name": "SHANNON",
        "credential": "M.S, L.M.F.T., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2379",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.