Shauna Rene Kodai, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

65830 Issued in CA

Practice address

140 Amber Grove Dr Ste 147
Chico, CA 95973-5887

Phone

(530) 680-5735

Fax

(530) 343-4911

NPI assigned

Jun 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shauna Headrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1528294360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CAVALIER WAY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734948",
            "telephone_number": "530-680-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AMBER GROVE DR STE 147",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735887",
            "telephone_number": "530-680-5735",
            "fax_number": "530-343-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 AMBER GROVE DR",
            "address_2": "STE 144",
            "address_purpose": "LOCATION",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735887",
            "country_code": "US",
            "telephone_number": "530-680-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODAI",
        "first_name": "SHAUNA",
        "middle_name": "RENE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "65830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "HEADRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liza Knight, CNM
• Geneva Knowles
• Michelle Lindsay Knox
• Steven P Koch, PH.D.
• Molly Lynn Kodad, MS, PPS
• Marcia Koehn
• Siarah Skye Koehnlein
• Michael Koenigs
• Ray K Kohler, RN
• Tyler David Koistinen

• Mental Health Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.