Individual provider Active NPI

Shawna Swanson, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1063545150
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT45604 Issued in CA
Practice address
4258 Telegraph Rd
Ventura, CA 93003-3706
Phone
(805) 477-5700
Fax
(805) 644-5882
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 44286 CA
Marriage & Family Therapist 106H00000X LMFT45604 CA Primary

Addresses

Primary practice location

4258 Telegraph Rd
Ventura, CA 93003-3706

Mailing address

4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 477-5700

Other practice location 1

1911 Williams Dr
Suite 200
Oxnard, CA 93036-2612
Phone (805) 981-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001020 CA Practitioner - Marriage and Family Therapist 5092248237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Ventura 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 477-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 44286CAMDMarriage & Family Therapist
LMFT45604CAMDMarriage & Family Therapist
45604CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
County of Ventura Current Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Oct 2, 2024 Accepting new patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

800 S Victoria Ave
#L4640
Ventura, CA 93009

4258 Telegraph Rd
Ventura, CA 93003
Phone (805) 477-5700

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1063545150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033706",
            "telephone_number": "805-477-5700",
            "fax_number": "805-644-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4258 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033706",
            "telephone_number": "805-477-5700",
            "fax_number": "805-644-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Williams Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362612",
            "country_code": "US",
            "telephone_number": "805-981-8827",
            "fax_number": "805-981-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SHAWNA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 44286",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT45604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.