MRS. JOANNE CAROLYNS SHELLY (NPI# 1386736692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386736692 |
| Entity Type | Individual |
| Full Name | MRS. JOANNE CAROLYNS SHELLY |
| Credential | CATC970099 |
| Practice Address |
23181 Verdugo Dr 104a Laguna Hills CA 92653-1357 |
| Mailing Address |
14632 Dartmouth Cir Tustin CA 92780-6606 |
| Practice Telephone | 9497075111 |
| Practice Fax Number | 9497075138 |
| Mailing Telephone | 7145447980 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A022030216 | CA | Behavioral Health & Social Service Providers |
| Street Address |
23181 VERDUGO DR 104A |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134601529 | Chelsea Rae Garvin | Nurse Practitioner | 23181 Verdugo Dr, Laguna Hills, CA 92653-1357 | 2018-08-31 |
| 1164830642 | Carolyn Ng | Physician Assistant | 23181 Verdugo Dr, Suite 103a, Laguna Hills, CA 92653-1357 | 2014-07-28 |
| 1871838987 | Jessica Barish | Behavioral Analyst | 23181 Verdugo Dr, Suite 106, Laguna Hills, CA 92653-1357 | 2012-11-29 |
| 1790020816 | Ashlie Raymer | Behavioral Analyst | 23181 Verdugo Dr, Suite 106, Laguna Hills, CA 92653-1357 | 2012-11-29 |
| 1669729513 | An Thi-ngoc Nguyen | Family Medicine | 23181 Verdugo Dr, Suite 103a, Laguna Hills, CA 92653-1357 | 2012-08-10 |
| 1932462363 | Ryan Lee Renner | Behavioral Analyst | 23181 Verdugo Dr, Suite 106, Laguna Hills, CA 92653-1357 | 2012-06-20 |
| 1275896607 | Anahita Parsi Renner | Behavioral Analyst | 23181 Verdugo Dr, Suite 106, Laguna Hills, CA 92653-1357 | 2012-06-20 |
| 1003178534 | Meredith Derby Harsh | Physician Assistant | 23181 Verdugo Dr, Ste 103a, Laguna Hills, CA 92653-1357 | 2012-06-11 |
| 1043460546 | Tagle Chiropractic, Inc | Chiropractor | 23181 Verdugo Dr, Ste 100a, Laguna Hills, CA 92653-1357 | 2008-09-22 |
| 1114193596 | Danise Rene Stys | Marriage & Family Therapist | 23181 Verdugo Dr, Suite 104-a, Laguna Hills, CA 92653-1357 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144861972 | Phoenix Rising Addcition Center Inc. | Counselor | 26072 Merit Cir Ste 104, Laguna Hills, CA 92653-7015 | 2019-10-02 |
| 1164945341 | Adrian Gonzalez | Counselor | 24951 Sandridge Cir, Laguna Hills, CA 92653-5893 | 2017-07-19 |
| 1780121285 | Tammy Major | Counselor | 26801 Barkstone Ln, Laguna Hills, CA 92653-7568 | 2017-01-23 |
| 1669821302 | Satori Medical Associates Inc | Counselor | 23272 Mill Creek Dr Ste 240, Laguna Hills, CA 92653-1657 | 2016-06-03 |
| 1649604547 | Steven White | Counselor | 23282 Mill Creek Dr Ste 100, Laguna Hills, CA 92653-1678 | 2013-08-27 |
| 1619268935 | Duane Allen Durst | Counselor | 23282 Mill Creek Dr, Suite 100e, Laguna Hills, CA 92653-1658 | 2011-04-20 |
| 1902110158 | Embrace Recovery | Counselor | 23232 Peralta Dr, Suite 219, Laguna Hills, CA 92653-1443 | 2010-07-29 |
| 1437473196 | Rosemary Maxine Kane | Counselor | 23232 Peralta Dr, Suite 219, Laguna Hills, CA 92653-1443 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MRS. JOANNE CAROLYNS SHELLY.
| 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.