Individual provider Active NPI

Shelby Ann Swanson

  • Marriage & Family Therapist
  • Buellton, CA
National Provider Identifier
1306269873
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112739 Issued in CA
Practice address
241 Victory Dr
Buellton, CA 93427-9538
Phone
(805) 717-4893
NPI assigned
Feb 3, 2014
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 112739 CA Primary

Addresses

Primary practice location

241 Victory Dr
Buellton, CA 93427-9538

Mailing address

241 Victory Dr
Buellton, CA 93427-9538
Phone (805) 717-4893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409005070 CA Practitioner - Marriage and Family Therapist 2062850019 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

222 E Carrillo St
Suite 300
Santa Barbara, CA 93101-7149
Phone (805) 717-4893

241 Victory Dr
Buellton, CA 93427-9538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1306269873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 VICTORY DR",
            "city": "BUELLTON",
            "state": "CA",
            "postal_code": "934279538",
            "telephone_number": "805-717-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 VICTORY DR",
            "city": "BUELLTON",
            "state": "CA",
            "postal_code": "934279538",
            "telephone_number": "805-717-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buellton, CA

Sources for this page

Verify at the official NPI Registry.