Individual provider Active NPI

Steven Brian Shewmake Sr., LMHC, LADAC

  • Mental Health Counselor
  • Rio Rancho, NM
National Provider Identifier
1477056562
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0198921 Issued in NM
Practice address
1531 White Pine Dr NE
Rio Rancho, NM 87144-0595
Phone
(817) 694-8990
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11500 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X CAD0198431 NM
Mental Health Counselor 101YM0800X CMH0198921 NM Primary

Addresses

Primary practice location

1531 White Pine Dr NE
Rio Rancho, NM 87144-0595

Mailing address

1531 White Pine Dr NE
Rio Rancho, NM 87144-0595
Phone (817) 694-8990

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

LicenseStateTypeSpecialty
CAD0198431NMMDAddiction (Substance Use Disorder) Counselor
11500TXMDAddiction (Substance Use Disorder) Counselor
CMH0198921NMMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1477056562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 WHITE PINE DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440595",
            "telephone_number": "817-694-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 WHITE PINE DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440595",
            "telephone_number": "817-694-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWMAKE",
        "first_name": "STEVEN",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LMHC, LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11500",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD0198431",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0198921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.