Individual provider Active NPI

Shyla Teresa Zellman-Steen, LCSW

  • Mental Health Counselor
  • Davis, CA
National Provider Identifier
1063986990
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS21560 Issued in CA
Practice address
2727 Del Rio PL Ste C
Davis, CA 95618-7729
Phone
(530) 902-0564
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS21560 CA Primary

Addresses

Primary practice location

2727 Del Rio PL Ste C
Davis, CA 95618-7729

Mailing address

2727 Del Rio PL Ste C
Davis, CA 95618-7729
Phone (530) 902-0564

Other names 1

  • Shyla T Steen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123000611 CA Practitioner - Clinical Social Worker 7517392491 Practice locations: Davis, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS21560CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1063986990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 DEL RIO PL STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187729",
            "telephone_number": "530-902-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 DEL RIO PL STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187729",
            "telephone_number": "530-902-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLMAN-STEEN",
        "first_name": "SHYLA",
        "middle_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS21560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHYLA",
            "last_name": "STEEN",
            "middle_name": "T",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.