Shannon Matteson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC8979 Issued in CA

Practice address

30755 Auld Rd
Murrieta, CA 92563-2599

Phone

(951) 600-6750

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Thierfeld Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rancho Counseling Center, Inc

  • Clinical Social Worker
  • Temecula, CA
  • NPI 1700217619
  NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1508636218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30755 AULD RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632599",
            "telephone_number": "951-600-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30755 AULD RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632599",
            "telephone_number": "951-600-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "SHANNON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC8979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "THIERFELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Merissa Anne Mathews, LCSW
• Richard Michael Matkaluk, M.D.
• Mariah Matos
• Yara Matta, MD
• Luisa Mattaliano, LVN
• Matthew R. Kanter, DDS, Inc.
• Sarah Nicole Matthews, DO
• Kendall Leeanne Mattix
• Brian Richard Mattson, DDS
• Julianne Francis Matula

• Mental Health Counselor in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.