Individual provider Active NPI

Michele Rae Shepherd, MFT

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1487785887
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34578 Issued in CA
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

Updated by the provider on Oct 21, 2020

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 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

LicenseStateTypeSpecialty
MFC34578CAMDMarriage & 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

Verify at the official NPI Registry.