Individual provider Active NPI

Shannon Frank-Richter

  • Marriage & Family Therapist
  • West Linn, OR
National Provider Identifier
1376275552
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
132811 Issued in CA
Practice address
19785 Wildwood Dr
West Linn, OR 97068-2228
Phone
(408) 805-6722
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 132811 CA Primary

Addresses

Primary practice location

19785 Wildwood Dr
West Linn, OR 97068-2228

Mailing address

17600 Pacific Hwy Unit 319
Marylhurst, OR 97036-0800
Phone (408) 617-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 2, 2025 through Jul 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Therapist Inc Marriage & Family Therapist CurrentSince Aug 14, 2022 Accepting new patients

Locations

17600 Pacific Hwy
Unit 319
Marylhurst, OR 97036

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1376275552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 PACIFIC HWY UNIT 319",
            "city": "MARYLHURST",
            "state": "OR",
            "postal_code": "970360800",
            "telephone_number": "408-617-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 WILDWOOD DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682228",
            "telephone_number": "408-805-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK-RICHTER",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.