Shelia Ann Palmer, SUD COUNSELOR II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CI31750121 Issued in CA

Practice address

117 E Harry Bridges Blvd # a
Wilmington, CA 90744-5825

Phone

(310) 384-4907

Fax

(310) 835-1202

NPI assigned

Sep 1, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sheliapalmer-bhs-inc@lacsapc.netsmartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1619495371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20228 DALFSEN AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462934",
            "telephone_number": "310-384-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E HARRY BRIDGES BLVD # A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445825",
            "telephone_number": "310-384-4907",
            "fax_number": "310-835-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHELIA",
        "middle_name": "ANN",
        "credential": "SUD  COUNSELOR II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI31750121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Ortiz
• Chibuzo Chinelo Osajindu, LVN
• Virginia Catalina Padilla
• Ralph Erbie Michael Paez, RDH
• Guadalupe Pallares, LVN
• Jorge Luis Pando Guzman, DC
• Gil John Pangelinan
• Melanie Parham
• Eunice Park
• Yvette Marie Parra, RAS

• Addiction (Substance Use Disorder) Counselor in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.