Shawn Elizabeth Vanleuven

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

941694676 Issued in CA

Practice address

2403 Professional Dr Ste 101
Santa Rosa, CA 95403-3007

Phone

(707) 544-3295

Fax

(707) 544-9011

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1861976607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 ROGERS WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043233",
            "telephone_number": "707-304-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 PROFESSIONAL DR STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033007",
            "telephone_number": "707-544-3295",
            "fax_number": "707-544-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLEUVEN",
        "first_name": "SHAWN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "941694676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941694676",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Nhiawa Vang, PHARMD
• Linda Vang, OD
• Phoua Diane Vang
• Vanguard Performance, LLC
• Srilakshmi Vankina, MD
• Charlotte Vannoppen
• Jennifer Vargas Dominguez
• Yudith Vargas Dominguez
• Ana Vargas-Rios
• Jessica Vargas

• Addiction (Substance Use Disorder) Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.