Active NPI
Michelle Leigh Shambo, LPCC, LMHC
- Mental Health Counselor
- Bishop, CA
National Provider Identifier
1881823078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60017481
- Practice address
- 44 Osage Cir
Bishop, CA 93514-7466 - Phone
- (360) 266-0778
- Fax
- (360) 748-4762
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60017481 | WA | Primary |
| Professional Counselor | 101YP2500X | LPC 407 | CA |
Addresses
Primary practice location
44 Osage Cir
Bishop, CA 93514-7466
Mailing address
44 Osage Cir
Bishop, CA 93514-7466
Phone (760) 873-8980
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 |
|---|---|---|---|
| LH60017481 | WA | MD | Mental Health Counselor |
| LPC 407 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483833600000",
"number": "1881823078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 OSAGE CIR",
"city": "BISHOP",
"state": "CA",
"postal_code": "935147466",
"telephone_number": "760-873-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 OSAGE CIR",
"city": "BISHOP",
"state": "CA",
"postal_code": "935147466",
"telephone_number": "360-266-0778",
"fax_number": "360-748-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMBO",
"first_name": "MICHELLE",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LPCC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2017-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60017481",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPC 407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.