Charles Shen, MFT-TRAINEE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF81706 Issued in CA

Practice address

2523 W 7TH St
Los Angeles, CA 90057-3801

Phone

(213) 480-1557

Fax

(213) 480-1182

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1386086486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573801",
            "telephone_number": "213-480-1557",
            "fax_number": "213-480-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573801",
            "telephone_number": "213-480-1557",
            "fax_number": "213-480-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "CHARLES",
        "credential": "MFT-TRAINEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF81706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rony Shemtov, DDS
• Adriana Shen, MD
• Alice Y. Shen, MD
• Amy Shu-I Shen, MD
• Arthur Shen, D.O.
• Darren Shen
• David Shen, PT, DPT
• Helen Min Shen, MD
• Honggang Shen, M.D.
• Jane Shen

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 11, 2017; 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.