Shnonya Holiman

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000003981 Issued in OR

Practice address

1427 SE 182ND Ave
Portland, OR 97233-5008

Phone

(503) 761-6005

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coda, Inc.

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
  • NPI 1437213865
  NPD
• Coda, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Seaside, OR
  • NPI 1750912184
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1366072001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141328",
            "telephone_number": "503-239-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 SE 182ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335008",
            "telephone_number": "503-761-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 SW Washington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052327",
            "country_code": "US",
            "telephone_number": "503-535-1150 x1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLIMAN",
        "first_name": "SHNONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000003981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shnonya.Holiman@depaultc.org",
            "affiliation": "N",
            "address_1": "1312 SW Washington St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972052327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shnonya.Holiman@depaultc.org",
            "affiliation": "N",
            "address_1": "1312 SW Washington St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972052327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Callie Holgate
• Debbie Holgate
• Andrew Holguin
• Gerald A. Holguin, M.D.
• Kina Francisca Holguin
• Holistic & Integrative Psychotherapy, LLC
• Holistic Community Therapy LLC
• Holistic Healing Behavioral Healthcare
• Holistic Healing PDX
• Holistic Mental Health, LLC

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.