KKASSANOVA SHIELDS
NPI 1922387232
Counselor in Concord, CA

Q: What is Kkassanova Shields's NPI number?

The NPI number for Kkassanova Shields is 1922387232. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Kkassanova Shields's specialty?

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

Active since August 04, 2011

3024 WILLOW PASS RD, CONCORD, CA 94519(925) 692-0090(925) 692-0091 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kkassanova Shields NPPES

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

KKASSANOVA SHIELDS (NPI 1922387232) is an individual counselor in Concord, California and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1922387232

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKKASSANOVA SHIELDS

Location Address3024 WILLOW PASS RDConcord, CA 94519-2588

Mailing Address3024 Willow Pass RdConcord, CA 94519-2588 · (925) 692-0090 · Fax (925) 692-0091

Phone(925) 692-0090

Fax(925) 692-0091

Sole ProprietorNo

Enumeration DateAugust 4, 2011

✔ NPI 1922387232 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.

3024 WILLOW PASS RD, Concord, CA 94519

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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.

MISS VICTORIA JANE ZURKAN LMFT

Marriage & Family Therapist

3024 WILLOW PASS RD
CONCORD, CA 94519

Contra Costa County (925) 363-5000

ADDIE L JUPITER RAS

Counselor (Addiction (Substance Use Disorder))

3024 WILLOW PASS RD
CONCORD, CA 94519

Contra Costa County (925) 363-5000

AVIVA EURIPIDES

Marriage & Family Therapist

3024 WILLOW PASS RD, SUITE 200
CONCORD, CA 94519

Contra Costa County (925) 692-0090

JAMES GALE

Counselor

3024 WILLOW PASS RD, STE. 200
CONCORD, CA 94519

Contra Costa County (925) 692-0090

NORMA VELIZ

Social Worker

3024 WILLOW PASS RD
CONCORD, CA 94519

Contra Costa County (925) 692-0090

MRS. AMY MARIA WALKER B.S.

Marriage & Family Therapist

3024 WILLOW PASS RD
CONCORD, CA 94519

Contra Costa County (925) 363-5000

MR. MICHAEL ANTHONY MACIOCI M.A., MFT

Counselor (Mental Health)

3024 WILLOW PASS RD
CONCORD, CA 94519

Contra Costa County (925) 681-4131

MRS. MICHELE JEAN LUKAS

Counselor (Addiction (Substance Use Disorder))

3024 WILLOW PASS RD
CONCORD, CA 94519

Contra Costa County (925) 363-5000

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 Kkassanova Shields's NPI number?

The NPI number for Kkassanova Shields is 1922387232. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Kkassanova Shields located?

Kkassanova Shields practices at 3024 Willow Pass Rd, Concord, CA 94519. The listed phone number is (925) 692-0090.

What is Kkassanova Shields'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 Kkassanova Shields was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.