Casey James Shook, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CTB-2023-0683 Issued in NM

Practice address

112 S Gold Ave
Deming, NM 88030-3704

Phone

(779) 245-4928

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Casey James Shook Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1811759129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303704",
            "telephone_number": "575-299-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303704",
            "telephone_number": "779-245-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "CASEY",
        "middle_name": "JAMES",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2023-0683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "SHOOK",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "AA PSYCHOLOGY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Kay Saunders, NP
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• Serenity Living Inc.
• Rani Singh
• Kathleen Slee, LISW
• Jessica Lorraine Smith, NP
• Juanita A. Smith, M.S. DEGREE
• Jenifer Smyer, FNP-C, AGACNP-BC

• Addiction (Substance Use Disorder) Counselor in Deming, NM
• Providers in Deming, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.