MR. SHANE MILES SIMONS
NPI 1861207557
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA
Active since February 10, 2025
310 HARRIS AVE STE A, SACRAMENTO, CA 95838(916) 649-6793(916) 919-7411 Get Directions Write a Review
About Mr. Shane Miles Simons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANE MILES SIMONS (NPI 1861207557) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (18695) and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1861207557
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SHANE MILES SIMONS
Location Address310 HARRIS AVE STE ASacramento, CA 95838-3249
Mailing Address310 Harris Ave Ste ASacramento, CA 95838-3249 · (916) 649-6793 · Fax (916) 919-7411
Phone(916) 649-6793
Fax(916) 919-7411
Sole ProprietorNo
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1861207557 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 CA · 18695
310 HARRIS AVE STE A, Sacramento, CA 95838
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 (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861207557, enumerated as an "individual" on February 10, 2025.
The provider is located at 310 HARRIS AVE STE A SACRAMENTO, CA 95838 and the phone number is (916) 649-6793.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).