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SHAUN EDGAR OLDRIDGE LASAC
NPI 1669240248
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since December 13, 2023
2102 W BETHANY HOME RD, PHOENIX, AZ 85015(480) 208-8505 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaun Edgar Oldridge Lasac NPPES

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

SHAUN EDGAR OLDRIDGE LASAC (NPI 1669240248) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (08007T) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1669240248
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHAUN EDGAR OLDRIDGECredential: LASAC
Location Address2102 W BETHANY HOME RDPhoenix, AZ 85015-1935
Mailing Address2102 W Bethany Home RdPhoenix, AZ 85015-1935 · (027) 744-4745
Phone(480) 208-8505
Sole ProprietorNo
Enumeration DateDecember 13, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1669240248 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 AZ · 08007T
2102 W BETHANY HOME RD, Phoenix, AZ 85015
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Other Names 1

Other Name (5)Shaun Edgar Oldridge

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.

ALEXIS CLARE KATAFIASZ LMSW
Social Worker
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745
SARAH COOPER LMSW, CCTP
Social Worker
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 526-8315
TARA PITTS MA, LAC, BHP
Counselor (Mental Health)
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745
PAULA ANN JOHNSON I LMSW
Social Worker (Clinical)
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745
CHEVONNE A HAWKINS LAC
Counselor
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745
NARITA M RUSLING COUNSELOR
Counselor (Mental Health)
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745
MR. EDWARD LAWRENCE JAMES III MDW, LMSW
Social Worker (Clinical)
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745
TANYA MUNOZ
Counselor (Professional)
2102 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 774-4745

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 Shaun Oldridge's NPI number?

The NPI number for Shaun Oldridge is 1669240248. It was assigned to this individual provider in the NPPES registry on December 13, 2023. The provider is also known as Shaun Edgar Oldridge.

Where is Shaun Oldridge located?

Shaun Oldridge practices at 2102 W Bethany Home Rd, Phoenix, AZ 85015. The listed phone number is (480) 208-8505.

What is Shaun Oldridge'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 Shaun Oldridge was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.