Active NPI
Shavon Howell
- Addiction (Substance Use Disorder) Counselor
- Lynwood, CA
National Provider Identifier
1073732574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 5406 Rayborn St
Lynwood, CA 90262-5525 - Phone
- (323) 294-7662
- NPI assigned
- Apr 24, 2007
- 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 | Primary |
Addresses
Primary practice location
5406 Rayborn St
Lynwood, CA 90262-5525
Mailing address
3756 Santa Rosalia Dr Ste 423
Los Angeles, CA 90008-3614
Phone (323) 294-7662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104412-CCBCDC | Other | CA | SUBSTANCE ABUSE COUNSELOR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073732574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 SANTA ROSALIA DR STE 423",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083614",
"telephone_number": "323-294-7662",
"fax_number": "323-294-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 RAYBORN ST",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902625525",
"telephone_number": "323-294-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "SHAVON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE COUNSELOR",
"identifier": "104412-CCBCDC",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.