Shayna Elvina' Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1480980922 Issued in CA

Practice address

1340 Arnold Dr
Martinez, CA 94553-4189

Phone

(925) 655-3172

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Treatment Services Inc

  • Methadone Clinic
  • Oakland, CA
  • NPI 1689890758
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1992420061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "925-655-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "925-655-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAYNA",
        "middle_name": "ELVINA'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1480980922",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "14505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA10534",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlton Edward Smith, LCSW
• Chelsea Smith
• Jeffrey Smith
• Kaitlin C Smith
• Ocie Lee Smith
• Terrell Bernard Smith, RN
• Thomas Joseph Smith, MD
• Daniel Drew Sobel
• Soil & Sprout Perinatal LLC
• Marina P Soler, RAS, BA

• Addiction (Substance Use Disorder) Counselor in Martinez, CA
• Providers in Martinez, 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 Dec 17, 2025; 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.