Active NPI
Shinpei Chai
- Mental Health Counselor
- Monrovia, CA
National Provider Identifier
1750970034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 147310
- Practice address
- 140 E Colorado Blvd Ste D
Monrovia, CA 91016-5145 - Phone
- (626) 653-6951
- NPI assigned
- Jan 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 147310 | CA | Primary |
Addresses
Primary practice location
140 E Colorado Blvd Ste D
Monrovia, CA 91016-5145
Mailing address
12245 Chorus Dr
Rancho Cucamonga, CA 91739-8757
Phone (909) 314-9942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 11, 2024 through Jun 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147310 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1750970034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12245 CHORUS DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917398757",
"telephone_number": "909-314-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E COLORADO BLVD STE D",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910165145",
"telephone_number": "626-653-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAI",
"first_name": "SHINPEI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "147310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.