Individual provider Active NPI

Anne Marlene Shelton, PHD

  • Mental Health Counselor
  • San Marcos, CA
National Provider Identifier
1205553435
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PBS94025436 Issued in CA
Practice address
334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643
Phone
(760) 707-6765
Fax
(760) 683-5041
NPI assigned
Oct 27, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PBS94025436 CA Primary

Addresses

Primary practice location

334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643

Mailing address

26761 Sol CT
Hemet, CA 92544-7570
Phone (760) 445-5331

Other practice location 1

334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643
Phone (760) 707-6765

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PBS94025436CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Megan B. Lewis, Psy.D., a California Psychology Corporation PastSince Oct 30, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1205553435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26761 SOL CT",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447570",
            "telephone_number": "760-445-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 259",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782643",
            "telephone_number": "760-707-6765",
            "fax_number": "760-683-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Via Vera Cruz Ste 259",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782643",
            "country_code": "US",
            "telephone_number": "760-707-6765",
            "fax_number": "760-683-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANNE",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PBS94025436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.