Individual provider Active NPI

Shannon Ashburn

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1114459773
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT92372 Issued in CA
Practice address
841 Mohawk St Ste 100
Bakersfield, CA 93309-1500
Phone
(661) 345-2339
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT92372 CA Primary

Addresses

Primary practice location

841 Mohawk St Ste 100
Bakersfield, CA 93309-1500

Mailing address

841 Mohawk St Ste 100
Bakersfield, CA 93309-1500
Phone (661) 345-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT92372CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopefull, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Pine Meadow Counseling Inc Marriage & Family Therapist PastSince Apr 28, 2024 Accepting new patients

Locations

841 Mohawk St
Ste 100
Bakersfield, CA 93309
Phone (661) 487-1778

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1114459773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MOHAWK ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091500",
            "telephone_number": "661-345-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MOHAWK ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091500",
            "telephone_number": "661-345-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBURN",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT92372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.