Shannon Grady
Counselor, Mental Health in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1144707126
StatusActive
Last updated in NPPESJul 23, 2018
Details
- NPI
- 1144707126
- Entity type
- Individual (NPI-1)
- Name
- Shannon Grady
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Last updated
- Jul 23, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1255 Kendall RdSan Luis Obispo, CA 93401-8750
Phone 805-781-3535
Mailing address
1255 Kendall RdSan Luis Obispo, CA 93401-8750
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 480 Mental Health Counselor providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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