M KIVAUGHN SHELTON MSW
NPI 1063983336
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since December 16, 2018
539 N VAN NESS AVE, FRESNO, CA 93728(559) 266-9581(559) 498-0507 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2018, Dec 16, 2018 (2 updates tracked since 2018).

About M Kivaughn Shelton Msw NPPES

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

M KIVAUGHN SHELTON MSW (NPI 1063983336) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (R8522) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1063983336
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameM KIVAUGHN SHELTONCredential: MSW
Location Address539 N VAN NESS AVEFresno, CA 93728-3419
Mailing Address539 N Van Ness AveFresno, CA 93728-3419 · (559) 266-9581 · Fax (559) 498-0507
Fax(559) 498-0507
Sole ProprietorYes
Enumeration DateDecember 16, 2018
Last NPPES UpdateDecember 17, 20182 updates tracked since enumeration
NPI 1063983336 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 in CA · R8522
539 N VAN NESS AVE, Fresno, CA 93728

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.

Counselor
539 N VAN NESS AVE
FRESNO, CA 93728
Licensed Vocational Nurse
539 N VAN NESS AVE
FRESNO, CA 93728
Licensed Vocational Nurse
539 N VAN NESS AVE
FRESNO, CA 93728
Counselor (Addiction (Substance Use Disorder))
539 N VAN NESS AVE
FRESNO, CA 93728
Counselor (Addiction (Substance Use Disorder))
539 N VAN NESS AVE
FRESNO, CA 93728
Counselor (Addiction (Substance Use Disorder))
539 N VAN NESS AVE
FRESNO, CA 93728
Licensed Vocational Nurse
539 N VAN NESS AVE
FRESNO, CA 93728
Licensed Vocational Nurse
539 N VAN NESS AVE
FRESNO, CA 93728

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 M Shelton's NPI number?

The NPI number for M Shelton is 1063983336. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is M Shelton located?

M Shelton practices at 539 N Van Ness Ave, Fresno, CA 93728. The listed phone number is (559) 266-9581.

What is M Shelton'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 M Shelton was last updated on December 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.