Active NPI
Shaunna Marie Simpson, RADT-1
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1053957316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 96558
- Practice address
- 7225 E Southgate Dr Ste D
Sacramento, CA 95823-2651 - Phone
- (916) 394-1000
- Fax
- (916) 394-1010
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 96558 | CA | Primary |
Addresses
Primary practice location
7225 E Southgate Dr Ste D
Sacramento, CA 95823-2651
Mailing address
2432 Camino Park CT Apt 2
Carmichael, CA 95608-5160
Phone (916) 706-6142
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | COMPUTER | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treatment Associates, Inc. | Past | Accepting new patients | |
| Treatment Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Sacramento, CA
- NPI 1780028019
-
- Methadone Clinic
- Sacramento, CA
- NPI 1831109735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1053957316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 CAMINO PARK CT APT 2",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956085160",
"telephone_number": "916-706-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7225 E SOUTHGATE DR STE D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232651",
"telephone_number": "916-394-1000",
"fax_number": "916-394-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "SHAUNNA",
"middle_name": "MARIE",
"credential": "RADT-1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "96558",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "COMPUTER",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "7225 E Southgate Dr Ste D",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958232651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.