Address: 112 S Occidental Blvd, Apt# 22, Los Angeles, CA 90057-1260

SHAUN YVETTE LEWIS (NPI# 1699074591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699074591
Entity Type Individual
Gender Female
Practice Address 112 S Occidental Blvd
Apt# 22
Los Angeles
CA 90057-1260
Practice Telephone 5624648681
Mailing Address 112 S Occidental Blvd
Apt# 22
Los Angeles
CA 90057-1260
Mailing Telephone 5624648681
Enumeration Date 2011-03-18
Last Update Date 2011-03-18
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 112 S OCCIDENTAL BLVD
APT# 22
State CA
Zip Code 90057-1260

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.