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SHANE SMITH
NPI 1801363288
Counselor in Oakland, CA

Active since October 24, 2018
10401 SHAW ST, OAKLAND, CA 94605(510) 333-6621 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2020, Oct 24, 2018 (2 updates tracked since 2018).

About Shane Smith NPPES

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

SHANE SMITH (NPI 1801363288) is an individual counselor in Oakland, California and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1801363288
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHANE SMITH
Location Address10401 SHAW STOakland, CA 94605-5116
Mailing Address10401 Shaw St Apt 302Oakland, CA 94605-5124 · (510) 333-6621
Phone(510) 333-6621
Sole ProprietorYes
Enumeration DateOctober 24, 2018
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1801363288 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.
10401 SHAW ST, Oakland, CA 94605
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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 Smith's NPI number?

The NPI number for Shane Smith is 1801363288. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Shane Smith located?

Shane Smith practices at 10401 Shaw St, Oakland, CA 94605. The listed phone number is (510) 333-6621.

What is Shane Smith'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 Shane Smith was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.