SHANTELL BYRD
NPI 1801406426
Counselor - Mental Health in Los Angeles, CA

Active since August 07, 2020PECOS Enrolled
3881 S WESTERN AVE, LOS ANGELES, CA 90062(323) 290-4340 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2024, Aug 28, 2023, Jul 11, 2023 and 4 more (7 updates tracked since 2020).

About Shantell Byrd NPPES

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

SHANTELL BYRD (NPI 1801406426) is an individual mental health provider in Los Angeles, California, licensed in California (ASW103732) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801406426
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANTELL BYRD
Location Address3881 S WESTERN AVELos Angeles, CA 90062-1105
Mailing Address3881 S Western AveLos Angeles, CA 90062-1105
Sole ProprietorNo
Enumeration DateAugust 7, 2020
Last NPPES UpdateDecember 8, 20217 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
NPI 1801406426 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 · ASW103732
3881 S WESTERN AVE, Los Angeles, CA 90062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shantell Byrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 (Mental Health)
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Marriage & Family Therapist
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Rehabilitation Practitioner
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Counselor
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Counselor
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Counselor (Mental Health)
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Rehabilitation Practitioner
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Licensed Vocational Nurse
3881 S WESTERN AVE
LOS ANGELES, CA 90062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801406426, enumerated as an "individual" on August 07, 2020.

The provider is located at 3881 S WESTERN AVE LOS ANGELES, CA 90062 and the phone number is (323) 290-4340.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.