Shannon Stanley, CDCA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0001449 Issued in OH

Practice address

878 W Market St
Akron, OH 44303-1158

Phone

(234) 678-5941

Fax

(234) 678-3403

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Community Oriented Recovery Plus LLC.

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1043857303
  NPD
• Community Oriented Recovery Plus LLC.

  • Mental Health Counselor
  • Akron, OH
  • NPI 1184264988
  NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1417508987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031158",
            "telephone_number": "234-678-5941",
            "fax_number": "234-678-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031158",
            "telephone_number": "234-678-5941",
            "fax_number": "234-678-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SHANNON",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MENTAL HEALTH AND ADDICTION SERVICES (OMHAS)",
            "identifier": "0001449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciera Stanford, LPN
• Rosie Lee Stanford, LPN
• William C Stanger, CRNA
• Shannon Marie Stanik, NP
• Brian Alexander Stanley, MD
• Kortnie Stanovcak, LPCC
• Narrissa Staples
• Nathan Stapleton
• Katharina L Star, P.C.
• Chelsea Marie Starcher

• Peer Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.