CNS Services, Inc

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

Legal business name

CNS SERVICES, INC

Practice address

2309 W Raymond St
Compton, CA 90220-4047

Phone

(562) 338-6087

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Shannon Jackson, RNNPI 1053051292

Title

Ceo

Phone

(562) 338-6087

Specialties & licenses 8

Addresses

Other names 1

• Living Your Life Without Limits Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Jackson, RN

  • Continuing Education/Staff Development Registered Nurse
  • Compton, CA
  • NPI 1053051292

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1639859002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W SCHOOL ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902201923",
            "telephone_number": "562-250-4150",
            "fax_number": "562-567-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W RAYMOND ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902204047",
            "telephone_number": "562-338-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-338-6087",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "livingyourlifewithoutlimits.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2309 W Raymond St",
            "city": "Compton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902204047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Living Your Life Without Limits",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Your Life Without Limits",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Compton
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• Tamitra Monique Clark, PSY. D.
• Shantell Annette Clemons
• Clinical Intuitions Community Wellness Center Inc.
• Cobb Dental Corporation
• Gabriel Phillip Cohen, M.S.
• Aaron Colbert
• Debra Coleman
• Stephanie Collins

• Continuing Education/Staff Development Registered Nurse in Compton, CA
• Providers in Compton, CA by specialty
• Continuing Education/Staff Development Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.