Karen Leanne Shirley, SUDCC11
Counselor, Addiction (Substance Use Disorder) in Roseville, CA. Individual provider (NPI-1).
NPI number1669969416
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1669969416
- Entity type
- Individual (NPI-1)
- Name
- Karen Leanne Shirley
- Credential
- SUDCC11
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2018
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15383 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
406 Sunrise Ave Ste 100Roseville, CA 95661-4106
Phone 916-782-3737
Mailing address
406 Sunrise Ave Ste 100Roseville, CA 95661-4106
Phone 916-782-3737
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 185 Addiction (Substance Use Disorder) Counselor providers in Roseville · All 6,478 providers in Roseville
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