Active NPI
Shane Steve Patel, MSW
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1316297963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW34506
- Practice address
- 155 N Occidental Blvd
Los Angeles, CA 90026-4641 - Phone
- (213) 381-2931
- NPI assigned
- Sep 11, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW34506 | CA | Primary |
Addresses
Primary practice location
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Mailing address
3240 1/2 E 3Rd St
Los Angeles, CA 90063-3014
Phone (213) 820-8122
Other names 1
- Mr. Shane Patel
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 |
|---|---|---|---|
| ASW34506 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1316297963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 1/2 E 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900633014",
"telephone_number": "213-820-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641",
"telephone_number": "213-381-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHANE",
"middle_name": "STEVE",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-11",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW34506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANE",
"last_name": "PATEL",
"prefix": "MR.",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.