Individual provider Active NPI

Danielle Stephanie Shamam

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1245904929
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT159757 Issued in CA
Practice address
4955 Alta St
Simi Valley, CA 93063-2452
Phone
(805) 791-3725
NPI assigned
Aug 5, 2021
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT159757 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Rehabilitation Practitioner 225400000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4955 Alta St
Simi Valley, CA 93063-2452

Mailing address

4955 Alta St
Simi Valley, CA 93063-2452
Phone (805) 791-3725

Other practice location 1

6212 Kentland Ave
Woodland Hills, CA 91367-1721
Phone (818) 917-7513

Other practice location 2

2136 Cutler St
Simi Valley, CA 93065-4923
Phone (805) 527-1166

Other practice location 3

1672 Casarin Ave
Simi Valley, CA 93065-4515
Phone (805) 522-4891

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
AMFT159757CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
For the Future, Inc. CurrentSince Mar 11, 2025 Accepting new patients
Guiding Our Youth PastSince Mar 28, 2021 Accepting new patients
Guiding Our Youth PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 3

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1245904929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 ALTA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632452",
            "telephone_number": "805-791-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 ALTA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632452",
            "telephone_number": "805-791-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6212 Kentland Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913671721",
            "country_code": "US",
            "telephone_number": "818-917-7513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2136 Cutler St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654923",
            "country_code": "US",
            "telephone_number": "805-527-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1672 Casarin Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654515",
            "country_code": "US",
            "telephone_number": "805-522-4891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMAM",
        "first_name": "DANIELLE",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT159757",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.