NPIMap

Organization Active NPI

Shane Calhoun Counseling Inc

Doing business as Shane Calhoun Counseling

  • Adult Mental Health Clinic/Center
  • Arcata, CA
National Provider Identifier
1922667302
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SHANE CALHOUN COUNSELING INC
Doing business as
Shane Calhoun Counseling
Practice address
381 Bayside Rd Ste B
Arcata, CA 95521-7102
Phone
(707) 616-1188
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Dr. Shane C Calhoun, PSY.D.NPI 1558826842
Title
Director
Phone
(714) 315-1685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

381 Bayside Rd Ste B
Arcata, CA 95521-7102

Mailing address

381 Bayside Rd Ste B
Arcata, CA 95521-7102
Phone (707) 616-1188

Other names 1

  • Shane Calhoun Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

381 Bayside Rd
Ste B
Arcata, CA 95521
Phone (707) 616-6147

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1922667302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 BAYSIDE RD STE B",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955217102",
            "telephone_number": "707-616-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 BAYSIDE RD STE B",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955217102",
            "telephone_number": "707-616-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE CALHOUN COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-315-1685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shane Calhoun Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.