Jori Ann Shaffer, CADC-II, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A022630316 Issued in CA

Practice address

3600 Power Inn Rd
Sacramento, CA 95826-3826

Phone

(916) 452-3073

Fax

(916) 452-1565

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1922538594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 DUDLEY BLVD.",
            "address_2": "#217",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166403",
            "telephone_number": "916-452-3073",
            "fax_number": "916-452-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 POWER INN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263826",
            "telephone_number": "916-452-3073",
            "fax_number": "916-452-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CADC-II, ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A022630316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Shad, DDS
• Bushra Shad
• Husna Shadab
• Diana Shadpour
• Ryan Daniel Shafer, M.S.
• Rachel Shaffer
• Nabil Ahmad Shafi, M.D.
• Haidy Shafik
• Muzhgan Shafiq
• Jennah Mahfoudh Shagan

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, 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 Jun 15, 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.

Verify at the official NPI Registry.