Active NPI
Shana Salem
- Addiction (Substance Use Disorder) Counselor
- Santa Cruz, CA
National Provider Identifier
1699387605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 101YA0400X
- Practice address
- 380 Encinal St Ste 200
Santa Cruz, CA 95060-2178 - Phone
- (831) 469-1700
- Fax
- (831) 425-1905
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YA0400X | CA | Primary |
Addresses
Primary practice location
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Mailing address
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone (831) 469-1700
Other practice location 1
128 Western Ct
Santa Cruz, CA 95060-3023
Phone (562) 443-2526
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sssalem@ucsc.edu | Direct |
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 |
|---|---|---|---|
| 101YA0400X | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1699387605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-469-1700",
"fax_number": "831-425-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-469-1700",
"fax_number": "831-425-1905"
}
],
"practiceLocations": [
{
"address_1": "128 Western Ct",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950603023",
"country_code": "US",
"telephone_number": "562-443-2526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALEM",
"first_name": "SHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "101YA0400X",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sssalem@ucsc.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "128 Western Ct",
"city": "Santa Cruz",
"state": "CA",
"country_code": "US",
"postal_code": "950603023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.