Active NPI
Shontell Turntine
- Marriage & Family Therapist
- Spring Valley, CA
National Provider Identifier
1700272713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106665
- Practice address
- 8810 Jamacha Blvd Ste C
#199
Spring Valley, CA 91977-9197 - Phone
- (619) 273-3643
- NPI assigned
- Apr 7, 2015
- Last updated
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 73978 | CA | |
| Marriage & Family Therapist | 106H00000X | 73978 | CA | |
| Marriage & Family Therapist | 106H00000X | 106665 | CA | Primary |
Addresses
Primary practice location
8810 Jamacha Blvd Ste C
#199
Spring Valley, CA 91977-9197
Mailing address
8810 Jamacha Blvd Ste C
#199
Spring Valley, CA 91977-2411
Phone (619) 273-3643
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 |
|---|---|---|---|
| 106665 | CA | MD | Mental Health Counselor |
| 73978 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- shontellturntine@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1700272713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 JAMACHA BLVD STE C",
"address_2": "#199",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919772411",
"telephone_number": "619-273-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 JAMACHA BLVD STE C",
"address_2": "#199",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919779197",
"telephone_number": "619-273-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNTINE",
"first_name": "SHONTELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2021-02-18",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "73978",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "73978",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.