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SHANTAYLAH CASTNER SUDRC
NPI 1023696119
Counselor - Addiction (Substance Use Disorder) in Lakeport, CA

Active since March 30, 2021
160 S MAIN ST, LAKEPORT, CA 95453(707) 467-2010 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Sep 23, 2024, Mar 30, 2021 (3 updates tracked since 2021).

About Shantaylah Castner Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTAYLAH CASTNER SUDRC (NPI 1023696119) is an individual addiction (substance use disorder) provider in Lakeport, California, licensed in (12318) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1023696119
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANTAYLAH CASTNERCredential: SUDRC
Location Address160 S MAIN STLakeport, CA 95453-5017
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 467-2010
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1023696119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · 12318
160 S MAIN ST, Lakeport, CA 95453
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TANYA LOUISE LANE MHRS
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-0372
KATRINA HICKEY
Counselor
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 275-0506
JALEEN WHITE
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 275-9905
SUMMER WHITE
Day Training/Habilitation Specialist
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-0372
JUSTIN LOUIS
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
STACY LITTON
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
MICHELLE SAGEHORN REHAB SPECIALIST
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
ABIGAIL HENSON
Case Manager/Care Coordinator
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantaylah Castner's NPI number?

The NPI number for Shantaylah Castner is 1023696119. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Shantaylah Castner located?

Shantaylah Castner practices at 160 S Main St, Lakeport, CA 95453. The listed phone number is (707) 467-2010.

What is Shantaylah Castner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shantaylah Castner was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.