Active NPI
Michele Rae Shepherd, MFT
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1487785887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34578
- Practice address
- 14600 Sherman Way Ste 100D
Van Nuys, CA 91405-5869 - Phone
- (818) 374-6901
- Fax
- (818) 374-6908
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC34578 | CA | Primary |
Addresses
Primary practice location
14600 Sherman Way Ste 100D
Van Nuys, CA 91405-5869
Mailing address
14600 Sherman Way Ste 100D
Van Nuys, CA 91405-5869
Phone (818) 416-7862
Other practice location 1
10586 W. Pico Blvd #313
Los Angeles, CA 90064-2332
Phone (818) 416-7862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 12, 2026 through Feb 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC34578 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1487785887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14600 SHERMAN WAY STE 100D",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914055869",
"telephone_number": "818-416-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14600 SHERMAN WAY STE 100D",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914055869",
"telephone_number": "818-374-6901",
"fax_number": "818-374-6908"
}
],
"practiceLocations": [
{
"address_1": "10586 W. Pico Blvd #313",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900642332",
"country_code": "US",
"telephone_number": "818-416-7862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHERD",
"first_name": "MICHELE",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2020-10-21",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.