Individual provider Active NPI

Shaun H Lee, M.S.

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1275964884
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53121 Issued in CA
Practice address
500 City Pkwy W Ste 200
Orange, CA 92868-2941
Phone
(147) 480-6600
NPI assigned
Dec 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 53121 CA Primary

Addresses

Primary practice location

500 City Pkwy W Ste 200
Orange, CA 92868-2941

Mailing address

500 City Pkwy W Ste 200
Orange, CA 92868-2941
Phone (147) 480-6600

Other practice location 1

8272 E Norfolk Ave
Orange, CA 92867-6491
Phone (714) 941-9103

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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Mar 16, 2021 Accepting new patients

Locations

500 City Pkwy W
Ste 200
Orange, CA 92868
Phone (714) 480-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1275964884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CITY PKWY W STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682941",
            "telephone_number": "147-480-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY PKWY W STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682941",
            "telephone_number": "147-480-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8272 E Norfolk Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928676491",
            "country_code": "US",
            "telephone_number": "714-941-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHAUN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.