MRS. SHANNON NICOLE FARROUGE M.A LPC NPI 1215289210

NPI Information

NPI: 1215289210
Provider Name: MRS. SHANNON NICOLE FARROUGE, M.A, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
5520 SW MACADAM, AVE
SUITE 270
PORTLAND, OR
ZIP 97239
Phone: (503) 888-1369
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MRS. Shannon Nicole Farrouge, M.A, LPC is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Shannon Nicole Farrouge, M.A, LPC NPI is 1215289210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5520 SW MACADAM, AVE
SUITE 270
PORTLAND, OR
ZIP 97239
Phone: (503) 888-1369
Fax: (503) 646-8401

The enumeration date for this NPI number is 10/15/2012 and was last updated on 2/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101Y00000X	Counselor		C3859	OREGON	Yes
3	101YP2500X	Counselor	Professional	C3859	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000WDBCH	OTHER	WASHINGTON	GROUP MEDICARE
2	0000WDBCH	OTHER	OREGON	GROUP MEDICARE
3	164936	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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