Shannel Benisano, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

116661 Issued in CA

Practice address

4100 Redwood Rd Ste 20a-128
Oakland, CA 94619-2363

Phone

(415) 562-5808

NPI assigned

Aug 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1265988661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 REDWOOD RD STE 20A-128",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 REDWOOD RD STE 20A-128",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192363",
            "telephone_number": "415-562-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISANO",
        "first_name": "SHANNEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF94282",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Benham-Suk, M.D.
• Alice Jean Benham, NP
• Charles Benin
• Cheryle Benin
• Destiny M Benin
• Monica Benitez Hernandez
• Rachel Victoria Benitez
• Tina Benitez, IBCLC, RLC
• Manav Beniwal, DPM
• Amara Danielle Benjamin-Bullock

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, 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 Nov 15, 2023; 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.