MR. SHANE MICHAEL NIELS CADC-1 NPI 1437965621

NPI Information

  • NPI: 1437965621
  • Provider Name: MR. SHANE MICHAEL NIELS, CADC-1
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5723 MELROSE AVE
    LOS ANGELES, CA
    ZIP 90038
  • Phone: (312) 810-0685

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NPI Details

MR. Shane Michael Niels, CADC-1 is a mental health counselor in Los Angeles, CA. MR. Shane Michael Niels, CADC-1 NPI is 1437965621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5723 MELROSE AVE
LOS ANGELES, CA
ZIP 90038-890
Phone: (312) 810-0685
Fax: (714) 242-7434

The enumeration date for this NPI number is 12/4/2024 and was last updated on 12/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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