Active NPI
Sharon Tena Crenshaw, RADT-I
- Addiction (Substance Use Disorder) Counselor
- Napa, CA
National Provider Identifier
1770150435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14767-RAC
- Practice address
- 2100 Napa Vallejo Hwy BLDG 253M1M2
Napa, CA 94558-6234 - Phone
- (707) 255-8001
- Fax
- (707) 255-8006
- NPI assigned
- Jun 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14767-RAC | CA | Primary |
Addresses
Primary practice location
2100 Napa Vallejo Hwy BLDG 253M1M2
Napa, CA 94558-6234
Mailing address
1215 Monticello Rd
Napa, CA 94558-2019
Phone (925) 481-6942
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 |
|---|---|---|---|
| 14767-RAC | 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": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1770150435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 MONTICELLO RD",
"city": "NAPA",
"state": "CA",
"postal_code": "945582019",
"telephone_number": "925-481-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY BLDG 253M1M2",
"city": "NAPA",
"state": "CA",
"postal_code": "945586234",
"telephone_number": "707-255-8001",
"fax_number": "707-255-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "SHARON",
"middle_name": "TENA",
"credential": "RADT-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "14767-RAC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.