Active NPI
Shayla La Fonda Robinson
- Professional Counselor
- Riverside, CA
National Provider Identifier
1225675549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC5132
- Practice address
- 4000 Orange St
Riverside, CA 92501-3613 - Phone
- (313) 999-0187
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC5132 | CA | Primary |
Addresses
Primary practice location
4000 Orange St
Riverside, CA 92501-3613
Mailing address
4000 Orange St
Riverside, CA 92501-3613
Phone (313) 999-0187
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC5132 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1225675549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013613",
"telephone_number": "313-999-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013613",
"telephone_number": "313-999-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHAYLA",
"middle_name": "LA FONDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC5132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.