Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane Michael Niels, CADC-1

Individual provider Mental Health Counselor · NPI 1437965621

Mr. Shane Michael Niels, CADC-1 is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5723 Melrose Ave
Los Angeles, CA 90038-3890
Phone: (312) 810-0685
Fax: (714) 242-7434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1437965621
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-1
Sole proprietorYes
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 3, 2024

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