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SHANNON EDMISTON MSW
NPI 1386046688
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since September 18, 2014
4049 MILLER WAY, SACRAMENTO, CA 95817(916) 451-9312 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2020, Aug 14, 2020 (2 updates tracked since 2020).

About Shannon Edmiston Msw NPPES

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

SHANNON EDMISTON MSW (NPI 1386046688) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (R1250850517) and active in the NPI registry since September 2014. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1386046688
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON EDMISTONCredential: MSW
Location Address4049 MILLER WAYSacramento, CA 95817-1332
Mailing Address4049 Miller WaySacramento, CA 95817-1332 · (916) 451-9312
Phone(916) 451-9312
Sole ProprietorYes
Enumeration DateSeptember 18, 2014
Last NPPES UpdateNovember 13, 20202 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1386046688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1250850517
Also ListedSocial WorkerTaxonomy 104100000X
4049 MILLER WAY, Sacramento, CA 95817
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Secondary Practice Location 1

Location 11400 A StSacramento, CA 95811-0612 · Phone (916) 440-1500 ext. 125

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.

INEEKA LASHAE' BOWENS
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
MISS CORAL LYNN WILSON RADT
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
KAREN LEE FINNEY RADT
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
ZENNETTE AKISHA JAMES RADT-1
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
KIARA RENEE DOSTY RADT1
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
JEANETTE ALVERTA CORMIER ASD I
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
MICHELLE EVANGELISTA
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312
KATRINA RUBY SANCHEZ RADT-1
Counselor (Addiction (Substance Use Disorder))
4049 MILLER WAY
SACRAMENTO, CA 95817
Sacramento County (916) 451-9312

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 Edmiston's NPI number?

The NPI number for Shannon Edmiston is 1386046688. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Shannon Edmiston located?

Shannon Edmiston practices at 4049 Miller Way, Sacramento, CA 95817. The listed phone number is (916) 451-9312.

What is Shannon Edmiston'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 Edmiston was last updated on November 13, 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.