Shannon R Lum, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

93255 Issued in CA

Practice address

2570 Jensen Ave Ste 105
Sanger, CA 93657-2269

Phone

(559) 399-8144

NPI assigned

Nov 1, 2016

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• California Psychological Institute

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1821179276
  NPD (past)
• Sjet Clinical Services

  • Clinical Social Worker
  • Sanger, CA
  • NPI 1013410885
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1275085722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 JENSEN AVE STE 105",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572269",
            "telephone_number": "559-399-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 JENSEN AVE STE 105",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572269",
            "telephone_number": "559-399-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 W Herndon Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110552",
            "country_code": "US",
            "telephone_number": "559-256-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda H Lee DDS, Inc
• Longs Drug Stores California LLC (CVS Pharmacy #03034)
• Cristina Lopez, PA
• Jason Galaviz Lopez
• Yaret Yuritsy Lopez I
• Joel Sebastian Luna
• Leslie Jeanette Maciel, PPS
• Matthew Manwarren, PTA
• Jonathan Manzano, CMT
• Belenda Arellanes Maravilla

• Marriage & Family Therapist in Sanger, CA
• Providers in Sanger, 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 Feb 4, 2021; 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.