SHANNON COUSINS-KAMARA (NPI# 1003086869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003086869 |
| Entity Type | Individual |
| Full Name | SHANNON COUSINS-KAMARA |
| Practice Address |
650 Howe Ave Sacramento CA 95825-4731 |
| Mailing Address |
149 Cinema St Sacramento CA 95823-7320 |
| Practice Telephone | 9169934131 |
| Mailing Telephone | 9169912641 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4600 47th Ave, 111, Sacramento, CA 958243923 | 9163931222 |
| Street Address |
650 HOWE AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821010885 | Kira Michele Ohm | Counselor | 650 Howe Ave, Building -400-a, Sacramento, CA 95825-4731 | 2006-07-25 |
| 1528683232 | Ian James Clement | Case Manager/Care Coordinator | 650 Howe Ave, Sacramento, CA 95825-4731 | 2020-06-09 |
| 1265088173 | Erienne Schuman | Case Manager/Care Coordinator | 650 Howe Ave, Sacramento, CA 95825-4731 | 2019-08-15 |
| 1548744196 | Elaine Xiong | Student in an Organized Health Care Education/Training Program | 650 Howe Ave, Sacramento, CA 95825-4731 | 2018-09-19 |
| 1205321601 | Timothy Ryan Strauwald | Counselor | 650 Howe Ave, Sacramento, CA 95825-4731 | 2018-06-27 |
| 1255837092 | Shaundra Hudson | Case Manager/Care Coordinator | 650 Howe Ave, Sacramento, CA 95825-4731 | 2018-04-02 |
| 1992245237 | Vanessa Ariel Solis | Counselor | 650 Howe Ave, Sacramento, CA 95825 | 2017-03-06 |
| 1245770015 | Marjha Hunt | Marriage & Family Therapist | 650 Howe Ave, Bldg 400-a, Sacramento, CA 95825-4731 | 2017-02-27 |
| 1174068159 | Michael Rondell Johnson | Counselor | 650 Howe Ave, Building 400-b, Sacramento, CA 95825-4731 | 2016-12-29 |
| 1942755582 | Matthew Stuller Jr. | Social Worker | 650 Howe Ave, Bldg 400, Sacramento, CA 95825-4731 | 2016-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178493 | Compassion Valley LLC | Community Based Residential Treatment Facility, Mental Illness | 6110 Garfield Ave, Sacramento, CA 95841-2009 | 2019-11-12 |
| 1376199232 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9847 Folsom Blvd, Sacramento, CA 95827-1328 | 2019-08-15 |
| 1497926505 | Gifted Healing Center Inc | Community Based Residential Treatment Facility, Mental Illness | 2251 Florin Rd Ste 133, 7654 22nd Street House of Umoja/rafa Porject, Sacramento, CA 95822-4491 | 2008-03-17 |
| 1033318878 | Turning Point Community Programs | Community Based Residential Treatment Facility, Mental Illness | 5550 Meadow Park Way, Sacramento, CA 95823-5117 | 2007-07-12 |
| 1689876955 | Transit and Living & Community Support | Community Based Residential Treatment Facility, Mental Illness | 1816 O St, Sacramento, CA 95814-6194 | 2007-05-31 |
| 1548389364 | St. Therese's Haven | Community Based Residential Treatment Facility, Mental Illness | 7940 Golden Field Way, Sacramento, CA 95823-5209 | 2007-03-29 |
| 1164540381 | G Street House Board & Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 1700 G St, Sacramento, CA 95814-2119 | 2007-03-26 |
| 1922176981 | Turning Point Crisis Residential Program | Community Based Residential Treatment Facility, Mental Illness | 4801 34th St, Sacramento, CA 95820-4849 | 2006-11-30 |
| 1720165368 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4256 Fruitridge Rd, Sacramento, CA 95820-5047 | 2006-11-01 |
| 1821105115 | Famille/famille, Inc | Community Based Residential Treatment Facility, Mental Illness | 6431 Hogan Dr, Sacramento, CA 95822-3840 | 2006-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on SHANNON COUSINS-KAMARA.
| 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.