Janelle Shepard, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

139256 Issued in CA

Practice address

1004 E 46TH St
Long Beach, CA 90807-1046

Phone

(562) 846-3636

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 13, 2024 through Jan 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cntrd Counseling

  • Mental Health Counselor
  • Huntington Beach, CA
  • NPI 1316554249
  NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1164914008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 BIXLER AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122212",
            "telephone_number": "562-846-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E 46TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071046",
            "telephone_number": "562-846-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "JANELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liangjie Shen
• Richard Shen, DPT
• Yunjia Shen, DO
• Shena Young, Psychology Corporation
• Marilyn Shenker, L.M.F.T.
• Samantha Joanna Shepherd, LMFT
• Tchaka Bayete Shepherd, MD
• Amanda Sheridan, MD
• Susan Sophia Sheridan, M.D.
• Garrett James Sherman, FNP

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, 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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.