ANGELA JEANNE SHENEFELT - NPI NUMBER 1396184867

Summary

Provider Name: ANGELA JEANNE SHENEFELT

NPI Number: 1396184867

Clasification: Counselor (101YM0800X)

Specialization: Mental Health

Address:
950 W JULIAN ST
SAN JOSE, CA
ZIP 95126

Phone Number: (408) 292-9353



Detailed Information

Angela Jeanne Shenefelt is a mental health counselor in San Jose, CA. The assigned NPI number for this provider is 1396184867 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

950 W JULIAN ST
SAN JOSE, CA
ZIP 95126-719
Phone: (408) 292-9353

The enumeration date for this NPI number is 6/18/2013 and was last updated on 6/18/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YM0800X Counselor Mental Health Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1396184867 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name SHENEFELT The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name ANGELA The first name of the provider, if the provider is an individual.
5 Provider Middle Name JEANNE The middle name of the provider, if the provider is an individual.
6 Provider First Line Business Practice Location Address 950 W JULIAN ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name SAN JOSE The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 951262719 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 4082929353 The telephone number associated with the location address of the provider being identified.
12 Provider Enumeration Date 6/18/2013 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 6/18/2013 The date that a record was last updated or changed.
14 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
15 Healthcare Provider Taxonomy Code 1 101YM0800X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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1093967291 ANA MARIA M LIZARRAGA, NO Individual Counselor
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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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