Shannon Quinn, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4077 Issued in OR

Practice address

423 NE 60TH Ave
Portland, OR 97213-3725

Phone

(503) 208-4208

NPI assigned

May 30, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1548618630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 SE GLENWOOD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025610",
            "telephone_number": "503-208-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 NE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133725",
            "telephone_number": "503-208-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "4077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Francis Quinn Jr., PT
• Lillian Quinn
• Lindsay Quinn, OTR
• Padeen Mary Quinn, N.D.
• Robert Quinn, L.AC.
• Rolando Quinones
• Brittany Lea Quinowski, RN
• Peter Quint, MD
• Brennen Quintana-Baker
• Jenna Quintana

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.