Individual provider Active NPI

Nicole Tawnya Shrieves, LPCC

  • Professional Counselor
  • Van Nuys, CA
National Provider Identifier
1932603644
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC10540 Issued in CA
Practice address
14600 Sherman Way Ste 200
Van Nuys, CA 91405-5850
Phone
(818) 374-6901
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC10540 CA Primary
Professional Counselor 101YP2500X APCC6059 CA

Addresses

Primary practice location

14600 Sherman Way Ste 200
Van Nuys, CA 91405-5850

Mailing address

14600 Sherman Way Ste 200
Van Nuys, CA 91405-5850
Phone (818) 374-6901

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

LicenseStateTypeSpecialty
APCC6059CAMDProfessional Counselor
LPCC10540CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1932603644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055850",
            "telephone_number": "818-374-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055850",
            "telephone_number": "818-374-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIEVES",
        "first_name": "NICOLE",
        "middle_name": "TAWNYA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC10540",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC6059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.