Shannon Ontiveros

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

P-2280 Issued in NE

Practice address

406 W Koenig St
Grand Island, NE 68801-6516

Phone

(308) 675-3345

Fax

(308) 675-3342

NPI assigned

Aug 7, 2024

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

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.

• Friendship House, Inc.

  • Community/Behavioral Health Agency
  • Grand Island, NE
  • NPI 1861926628
  NPD
• Friendship House, Inc.

  • Community/Behavioral Health Agency
  • Grand Island, NE
  • NPI 1881816114
  NPD (past)

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1891525432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 1ST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015805",
            "telephone_number": "308-675-3345",
            "fax_number": "308-675-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W KOENIG ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016516",
            "telephone_number": "308-675-3345",
            "fax_number": "308-675-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisa Omar
• James Lloyd Omel, M.D.
• Briana Onate Ramos
• Jackie Lynn Ondracek, APRN, FNP-C
• Keisha Leann Oneill
• Jordon Taylor Orcutt
• Damaris Orellana Menjivar
• Candice Orosco
• Maria Rosario Orozco
• Autumn Ashley Orr

• Addiction (Substance Use Disorder) Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.