SHOSHONI LEE VIOLA GENSAW MA
NPI 1710570676
Counselor - Mental Health in Mckinleyville, CA

Active since February 11, 2021
1560 BETTY CT, MCKINLEYVILLE, CA 95519(170) 749-9257 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shoshoni Lee Viola Gensaw Ma NPPES

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

SHOSHONI LEE VIOLA GENSAW MA (NPI 1710570676) is an individual mental health provider in Mckinleyville, California, licensed in California (123921) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1710570676
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHOSHONI LEE VIOLA GENSAWCredential: MA
Location Address1560 BETTY CTMckinleyville, CA 95519-4178
Mailing AddressPo Box 782Hoopa, CA 95546-0782 · (170) 749-9257
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
NPI 1710570676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 123921
1560 BETTY CT, Mckinleyville, CA 95519

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
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Counselor
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Social Worker
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Student in an Organized Health Care Education/Training Program
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519

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 Shoshoni Gensaw's NPI number?

The NPI number for Shoshoni Gensaw is 1710570676. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Shoshoni Gensaw located?

Shoshoni Gensaw practices at 1560 Betty Ct, Mckinleyville, CA 95519. The listed phone number is (170) 749-9257.

What is Shoshoni Gensaw'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 Shoshoni Gensaw was last updated on February 11, 2021. 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.