MS. SHANNON SMITH CCAPP
NPI 1205301157
Counselor - Addiction (Substance Use Disorder) in Santa Ana, CA

Active since October 08, 2018
1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2020, Dec 10, 2020, Oct 8, 2018 (3 updates tracked since 2018).

About Ms. Shannon Smith Ccapp NPPES

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

MS. SHANNON SMITH CCAPP (NPI 1205301157) is an individual addiction (substance use disorder) provider in Santa Ana, California, licensed in California (R1328911118) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1205301157
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SHANNON SMITHCredential: CCAPP
Location Address1207 E FRUIT STSanta Ana, CA 92701-4206
Mailing Address1207 E Fruit StSanta Ana, CA 92701-4206 · (714) 953-9373
Sole ProprietorYes
Enumeration DateOctober 8, 2018
Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1205301157 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 · R1328911118
1207 E FRUIT ST, Santa Ana, CA 92701

Other Identifiers 1

MedicaidR1328911118CA

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 (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Licensed Vocational Nurse
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Student in an Organized Health Care Education/Training Program
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701

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 Shannon Smith's NPI number?

The NPI number for Shannon Smith is 1205301157. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Shannon Smith located?

Shannon Smith practices at 1207 E Fruit St, Santa Ana, CA 92701. The listed phone number is (714) 953-9373.

What is Shannon Smith'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 Shannon Smith was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.