Shantell Marie Desmond, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4967 Issued in NV

Practice address

6880 S McCarran Blvd Ste 6
Reno, NV 89509-6129

Phone

(775) 624-8200

NPI assigned

Jun 5, 2013

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alta Vista Mental Health LLCGroup PAC ID 0042576274, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Alta Vista Mental Health LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1992134472
  Medicare reassignment Care Compare group NPD
• Foundations Behavioral Solutions

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1669018487
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1063850683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 S MCCARRAN BLVD STE 6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096129",
            "telephone_number": "775-624-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 S MCCARRAN BLVD STE 6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096129",
            "telephone_number": "775-624-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "SHANTELL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Design Wellness Inc.
• Grace Desilets, RBT
• Megan Lynn Desilva
• Rebecca Desilva
• Brian James Desjardin
• Sydney Shea Desmond, PRSS
• John Desparicio
• Habtemariam Kumelachew Dessie, MD
• Lisa B Dettelback, MFT
• Shelly Anna Deusenberry

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.