Individual provider · Type 1 NPI

Shannon Gilliam

Peer Specialist · Portsmouth, OH

NPI number 1013709948 Active

Practice location

411 Court St
Portsmouth, OH 45662-3932

Fax (740) 876-4005

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X2025 (OH)
Peer Specialist Primary 175T00000XPRS.008155 (KY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013709948

Shannon Gilliam's National Provider Identifier is 1013709948, issued on May 19, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portsmouth, OH. The record was last updated on Jul 30, 2026.