Shanna Leigh Wilson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT42905 Issued in CA

Practice address

630 W Tefft St Unit 901
Nipomo, CA 93444-7048

Phone

(559) 307-6713

NPI assigned

Oct 4, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1184719270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W TEFFT ST UNIT 901",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447048",
            "telephone_number": "559-307-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W TEFFT ST UNIT 901",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447048",
            "telephone_number": "559-307-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25170 Hancock Ave",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625969",
            "country_code": "US",
            "telephone_number": "951-461-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3951 W Stetson Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925459683",
            "country_code": "US",
            "telephone_number": "951-765-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31170 Temecula Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925922915",
            "country_code": "US",
            "telephone_number": "951-699-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234223",
            "country_code": "US",
            "telephone_number": "858-576-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHANNA",
        "middle_name": "LEIGH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT42905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Walker, DDS
• Ashley Foyt Wells, FNP
• Esperanza R Wilkinson
• Tonya Sue Willett, LMFT
• Olga Ostatnigrosh Williams, DC
• Robert Johanson Wolff, M.S.W.
• Neemah Yamin-Esfandiary
• Andrew J Young, DDS
• Billy Yu, DPM
• Kelvin Zia

• Marriage & Family Therapist in Nipomo, CA
• Providers in Nipomo, 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 Jan 10, 2024; 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.