MR. SHANE MICHAEL NIELS CADC-1
NPI 1437965621
Counselor - Mental Health in Los Angeles, CA

Active since December 04, 2024
5723 MELROSE AVE, LOS ANGELES, CA 90038(312) 810-0685(714) 242-7434 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Michael Niels Cadc-1 NPPES

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

MR. SHANE MICHAEL NIELS CADC-1 (NPI 1437965621) is an individual mental health provider in Los Angeles, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1437965621
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHANE MICHAEL NIELSCredential: CADC-1
Location Address5723 MELROSE AVELos Angeles, CA 90038-3890
Mailing Address801 S Berendo St Apt 214Los Angeles, CA 90005-4277 · (312) 810-0685
Fax(714) 242-7434
Sole ProprietorYes
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 3, 2024
NPI 1437965621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5723 MELROSE AVE, Los Angeles, CA 90038

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
5723 MELROSE AVE
LOS ANGELES, CA 90038
Behavior Technician
5723 MELROSE AVE
LOS ANGELES, CA 90038
Counselor (Mental Health)
5723 MELROSE AVE
LOS ANGELES, CA 90038
Social Worker (Clinical)
5723 MELROSE AVE
LOS ANGELES, CA 90038
Counselor (Addiction (Substance Use Disorder))
5723 MELROSE AVE
LOS ANGELES, CA 90038
Clinic/Center (Adult Mental Health)
5723 MELROSE AVE
LOS ANGELES, CA 90038
Behavior Technician
5723 MELROSE AVE
LOS ANGELES, CA 90038
Behavior Technician
5723 MELROSE AVE
LOS ANGELES, CA 90038

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 Shane Niels's NPI number?

The NPI number for Shane Niels is 1437965621. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Shane Niels located?

Shane Niels practices at 5723 Melrose Ave, Los Angeles, CA 90038. The listed phone number is (312) 810-0685.

What is Shane Niels's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shane Niels was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.