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SHANICE DELISA DOUGLAS
NPI 1699268797
Counselor in Roxbury, MA

Active since June 13, 2018
520 DUDLEY ST, ROXBURY, MA 02119(617) 989-9499(617) 445-2670 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shanice Delisa Douglas NPPES

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

SHANICE DELISA DOUGLAS (NPI 1699268797) is an individual counselor in Roxbury, Massachusetts and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1699268797
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANICE DELISA DOUGLAS
Location Address520 DUDLEY STRoxbury, MA 02119-2769
Mailing Address520 Dudley StRoxbury, MA 02119-2769 · (617) 989-9499 · Fax (617) 445-2670
Phone(617) 989-9499
Fax(617) 445-2670
Sole ProprietorYes
Enumeration DateJune 13, 2018
✔ NPI 1699268797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

520 DUDLEY ST, Roxbury, MA 02119
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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.

MS. EBONEE TROUP BS
Social Worker (Clinical)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 690-9701
LAKEYSHA EGLESTON
Case Manager/Care Coordinator
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJA JAMES-HUGHES
Community Health Worker
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (774) 297-7277
MARISA MEDEIROS DASILVA MSW
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (978) 505-6286
DOUGLAS BENTON
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 602-7869
UJU ILECHUKWU
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (617) 989-9499
AJANAY HUGHES PEARSON
Counselor (Mental Health)
520 DUDLEY ST
BOSTON, MA 02119
Suffolk County (857) 399-3390
YUKA HAYASHI
Student in an Organized Health Care Education/Training Program
520 DUDLEY ST
ROXBURY, MA 02119
Suffolk County (857) 919-7922

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 Shanice Douglas's NPI number?

The NPI number for Shanice Douglas is 1699268797. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Shanice Douglas located?

Shanice Douglas practices at 520 Dudley St, Roxbury, MA 02119. The listed phone number is (617) 989-9499.

What is Shanice Douglas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shanice Douglas was last updated on June 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.