Individual provider Active NPI

Shalanda Sheree Kangethe, LMFT, EDD

  • Religious Nonmedical Practitioner
  • Birmingham, AL
National Provider Identifier
1760732564
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical PractitionerTaxonomy code 374K00000X
Practice address
331 Cahaba Forest CV
Birmingham, AL 35242-5511
Phone
(334) 200-7890
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 65398 CA
Marriage & Family Therapist 106H00000X A-364 AL
Religious Nonmedical PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 374K00000X AL Primary

Addresses

Primary practice location

331 Cahaba Forest CV
Birmingham, AL 35242-5511

Mailing address

331 Cahaba Forest CV
Birmingham, AL 35242-5511
Phone (334) 200-7890

Other practice location 1

5190 Atlantic Ave
Long Beach, CA 90805-6510
Phone (310) 902-1999

Other names 1

  • Shalanda Sheree Chaney Former name

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

LicenseStateTypeSpecialty
A-364ALMDMarriage & Family Therapist
65398CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roundbell International Service Marriage & Family Therapist CurrentSince Dec 15, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1760732564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CAHABA FOREST CV",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425511",
            "telephone_number": "334-200-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CAHABA FOREST CV",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425511",
            "telephone_number": "334-200-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908056510",
            "country_code": "US",
            "telephone_number": "310-902-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANGETHE",
        "first_name": "SHALANDA",
        "middle_name": "SHEREE",
        "name_prefix": "Dr.",
        "credential": "LMFT, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "65398",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "A-364",
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALANDA",
            "last_name": "CHANEY",
            "middle_name": "SHEREE",
            "credential": "EDD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.