Active NPI
Steven Brian Shewmake Sr., LMHC, LADAC
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1477056562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CMH0198921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CAD0198431 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 11500 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| CMH0198921 | NM | MD | Mental 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.