Organization Active NPI

Abundant Life, Center for MFT Clinical Development, Inc

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1336019355
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC
Practice address
1633 E 4TH St Ste 184
Santa Ana, CA 92701-5143
Phone
(714) 699-3367
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Mrs. Kathleen Gabriela Shanahan, LMFTNPI 1629532221
Title
Ceo/Clinical Supervisor
Phone
(714) 699-3367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1633 E 4TH St Ste 184
Santa Ana, CA 92701-5143

Mailing address

1633 E 4TH St Ste 184
Santa Ana, CA 92701-5143
Phone (714) 699-3367

National Provider Directory

National Provider Directory

Locations

1633 E 4th St
Ste 184
Santa Ana, CA 92701
Phone (714) 453-4402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1336019355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 184",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015143",
            "telephone_number": "714-699-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 184",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015143",
            "telephone_number": "714-699-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "GABRIELA",
        "authorized_official_title_or_position": "CEO/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "714-699-3367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.