Individual provider Active NPI

Shelby Lynn Ammann, LMFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1578162111
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152693 Issued in CA
Practice address
301 The City Dr S
Orange, CA 92868-3205
Phone
(714) 935-6344
Fax
(714) 935-8112
NPI assigned
Oct 24, 2020
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19414 CA
Professional Counselor 101YP2500X LPC-24945. AZ
Marriage & Family Therapist 106H00000X 152693 CA Primary

Addresses

Primary practice location

301 The City Dr S
Orange, CA 92868-3205

Mailing address

190 Santa Isabel Ave
Costa Mesa, CA 92627-1527
Phone (949) 373-6777

Other practice location 1

901 Dover Dr Ste 240
Newport Beach, CA 92660-5528
Phone (949) 373-6777

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
152693CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1578162111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SANTA ISABEL AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271527",
            "telephone_number": "949-373-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683205",
            "telephone_number": "714-935-6344",
            "fax_number": "714-935-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Dover Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605528",
            "country_code": "US",
            "telephone_number": "949-373-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMANN",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "19414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24945.",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.