Shawntel Allen, CRC, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-24742 Issued in NC

Practice address

207 S Westgate Dr Ste G-J
Greensboro, NC 27407-1675

Phone

(336) 273-9611

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

Yes

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.

• Metro Treatment of North Carolina L P

  • Methadone Clinic
  • Greensboro, NC
  • NPI 1205041027
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2018.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1306314760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVER OAKS CT APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S WESTGATE DR STE G-J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071675",
            "telephone_number": "336-273-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHAWNTEL",
        "credential": "CRC, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Morrison Allen
• Deztinee Adiyah Allen
• Lania Allen
• Mary Ann Allen, MS, CCC-A
• Sandra Jean Allen, CRNA
• Stefanie Allen, RN
• Allergycorp Group, LLC
• Donna F Alley, CCC-SLP
• Kelli Alley, PHARMD
• Kimberly Allison, AGNP

• All providers in Greensboro, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.