Active NPI
Monica Marie Shaff, BAS, CADC
- Addiction (Substance Use Disorder) Counselor
- Jerome, ID
National Provider Identifier
1376183541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11800
- Practice address
- 414 N Lincoln Ave
Jerome, ID 83338-2300 - Phone
- (208) 324-5431
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11800 | ID | Primary |
Addresses
Primary practice location
414 N Lincoln Ave
Jerome, ID 83338-2300
Mailing address
414 N Lincoln Ave
Jerome, ID 83338-2300
Phone (208) 324-5431
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 |
|---|---|---|---|
| 11800 | ID | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1376183541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N LINCOLN AVE",
"city": "JEROME",
"state": "ID",
"postal_code": "833382300",
"telephone_number": "208-324-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N LINCOLN AVE",
"city": "JEROME",
"state": "ID",
"postal_code": "833382300",
"telephone_number": "208-324-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFF",
"first_name": "MONICA",
"middle_name": "MARIE",
"credential": "BAS, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "11800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jerome, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.