Active NPI
Shannon E McLain, EDD (ABD), CESP
- Rehabilitation Counselor
- Longview, WA
National Provider Identifier
1659896314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 1526 Commerce Ave
Longview, WA 98632-4102 - Phone
- (360) 749-8056
- Fax
- (360) 749-8060
- NPI assigned
- Aug 3, 2017
- Last updated
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
1526 Commerce Ave
Longview, WA 98632-4102
Mailing address
3015 Louisiana St
Longview, WA 98632-3407
Phone (360) 430-6447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9358 | Other | WA | CERTIFIED EMPLOYMENT SUPPORT PROFESSIONAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1659896314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 LOUISIANA ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323407",
"telephone_number": "360-430-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 COMMERCE AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986324102",
"telephone_number": "360-749-8056",
"fax_number": "360-749-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "SHANNON",
"middle_name": "E",
"credential": "EDD (ABD), CESP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED EMPLOYMENT SUPPORT PROFESSIONAL",
"identifier": "9358",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.