Individual provider Active NPI

Shelia Collette Marshall-McLean

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1457866238
Registry record updated Dec 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT20221 Issued in CA
Practice address
5729 Vista del Caballero
Riverside, CA 92509-6423
Phone
(951) 742-7561
Fax
(951) 742-7563
NPI assigned
Dec 3, 2017
Last updated
Dec 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2017

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 LMFT20221 CA Primary

Addresses

Primary practice location

5729 Vista del Caballero
Riverside, CA 92509-6423

Mailing address

PO Box 2994
Corona, CA 92878-2994
Phone (951) 742-7561

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

State licenses

LicenseStateTypeSpecialty
LMFT20221CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plan-It Life, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512259200000",
    "number": "1457866238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2994",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782994",
            "telephone_number": "951-742-7561",
            "fax_number": "951-742-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 VISTA DEL CABALLERO",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096423",
            "telephone_number": "951-742-7561",
            "fax_number": "951-742-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL-MCLEAN",
        "first_name": "SHELIA",
        "middle_name": "COLLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2017-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT20221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.