Shannon Kaye Fanucchi, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

127970 Issued in CA

Practice address

7070 Schirra CT
Bakersfield, CA 93313-2122

Phone

(661) 834-7564

NPI assigned

Feb 11, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pine Meadow Counseling Inc

  • Marriage & Family Therapist
  • Bakersfield, CA
  • NPI 1225293202
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1144974791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 WHITE LN # E249",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097698",
            "telephone_number": "661-834-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 SCHIRRA CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132122",
            "telephone_number": "661-834-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANUCCHI",
        "first_name": "SHANNON",
        "middle_name": "KAYE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prolan Robles Fandialan
• David M Fang, M.D.
• Michelle Connie Fang, PHARMD
• Billy Wayne Fanning
• Dagnachew Fantaye
• Gary M Farber, M.D.
• Karlyn Farber, MA, BCBA
• Amna Jehan Ara Ahmed Fareedy, M.D
• Maxine Michelle Farler
• Shawana Lee Farley

• Marriage & Family Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.