Luke Shackelford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4182 N Viking Way Ste 202
Long Beach, CA 90808-1476

Phone

(562) 566-4257

NPI assigned

Jul 10, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1598684979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 GREGORY LN",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 N VIKING WAY STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081476",
            "telephone_number": "562-566-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Sezonov, PHARMD
• SGP Inc
• Mohamed Adam Shaban, M.D.
• Youssef Shaban, DO
• Shaheh Shabanian, LCSW128329
• Keymia Japerell Shade
• Jacquelyn Shader
• Mohammad A Shadjari, PA-C
• Jeremy Richard Shadrick
• Penny Sue Shafer, R.PH.

• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, 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 Jul 10, 2026; 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.