Address: 4261 San Pedro Pl, Los Angeles, CA 90011-2917

SHONTAE L GRAHAM (NPI# 1780177428) 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) 1780177428
Entity Type Individual
Gender Female
Credential CC, MSP
Practice Address 4261 San Pedro Pl
Los Angeles
CA 90011-2917
Practice Telephone 3107706749
Mailing Address 4261 San Pedro Pl # 409
Los Angeles
CA 90011-2917
Mailing Telephone 3107706749
Enumeration Date 2018-06-07
Last Update Date 2018-06-07
Is Sole Proprietor N


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

Other Provider Identifiers

Identifier State Issuer Type Code

Office Location

Street Address 4261 SAN PEDRO PL
State CA
Zip Code 90011-2917

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1538641212 Brenda Bahena Community Health Worker South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 2018-08-30
1164941183 Kimberly Denise Lister- Gutierrez Counselor 303 E 52nd Street, Los Angeles, CA 90011 2017-09-11
1205252533 Jameese B Smith Case Manager/Care Coordinator 271 E. 43rd Street, Los Angeles, CA 90011 2014-03-11
1891088761 Denise Mahdis Zall Student in an Organized Health Care Education/Training Program 4920 Avalon Blvd., Los Angeles, CA 90011 2011-05-25
1326362609 Daniel Ochoa Counselor - Addiction (Substance Use Disorder) 2116 S. Central Ave, Los Angeles, CA 90011 2010-03-16
1093308009 South Central Family Health Center Clinic/Center - Federally Qualified Health Center (FQHC) 4411 S Central Ave, Los Angeles, CA 90011 2021-02-19
1083101851 Bronwyn Anne Hazlewood Student in an Organized Health Care Education/Training Program 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 2018-04-17
1578909404 Ma. Jasmin F Binas Nurse Practitioner - Family 2707 S.central Ave., Los Angeles, CA 90011 2013-05-19
1912343344 California Assisted Pharmacy, Inc · California Assisted Pharmacy Pharmacy 646 E 28th St, Ste #1, Los Angeles, CA 90011 2013-05-13
1912104720 Thomas M Ohearn Ophthalmology 1670 E 120th St., Los Angeles, CA 90011 2007-06-27
Find all in zip 90011

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013671114 Sierra Leblanc Counselor 850 Colorado Blvd Ste 202, Los Angeles, CA 90041-1733 2021-10-25
1992376966 Kerry Bryant Lewis Counselor 503 Union Dr Apt 310, Los Angeles, CA 90017-1841 2021-07-09
1992380083 Farhang Holakouee Counselor 11845 W Olympic Blvd # 820, Los Angeles, CA 90064-1149 2021-03-10
1215533138 Natalie Andrea Donis Counselor 1042 W 94th St Apt 1/4, Los Angeles, CA 90044-3269 2020-12-07
1952913055 Jose Islas Counselor 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 2020-08-19
1154931491 Delia Maria Cortez Counselor 12133 Clarkson Rd, Los Angeles, CA 90064-3519 2020-08-02
1457974263 Simeon Simov Counselor 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 2020-05-27
1780206524 Keisha Whitfield Counselor 1123 W 7th St # 25, Los Angeles, CA 90017-2409 2020-05-14
1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
1619504925 Tanisha N Tatum Counselor 5777 W Century Blvd # 11102035, Los Angeles, CA 90045-5600 2020-03-25
Find all providers in LOS ANGELES


Search similar providers

Zip Code 90011

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1235891722 Sequita Shontae Anderson · Sequita Shontae Anderson Occupational Therapy Assistant 184 Carbon St, Paterson, NJ 07522-1231 2021-10-12
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1750968491 Sheretta Graham Driver 28 Murphy Rd, Kingstree, SC 29556-7650 2021-03-27
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1043986094 Erica Graham Case Manager/Care Coordinator 532 Burroughs St, Morgantown, WV 26505-3356 2021-08-19
1710654801 Jesse Graham Technician, Other 6501 W Charleston Blvd Apt 273, Las Vegas, NV 89146-9095 2021-08-25
1205406600 Zhen Graham Behavior Technician 9110 Count Fleet Dr Apt 307, Raleigh, NC 27617-6240 2021-06-28
1932877404 Benjamin Graham Physician Assistant 347 Wedgewood Dr, Mahtomedi, MN 55115-1783 2021-08-31
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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.