Active NPI
Colleen M. Shelton, MA., LMFT
- Marriage & Family Therapist
- Huntington Beach, CA
National Provider Identifier
1578278396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136743
- Practice address
- 18811 Huntington St
Huntington Beach, CA 92648-6002 - Phone
- (714) 340-5901
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 136743 | CA | Primary |
Addresses
Primary practice location
18811 Huntington St
Huntington Beach, CA 92648-6002
Mailing address
3797 Via Zumaya St
Corona, CA 92881-0786
Phone (951) 847-1106
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136743 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1578278396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3797 VIA ZUMAYA ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928810786",
"telephone_number": "951-847-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18811 HUNTINGTON ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926486002",
"telephone_number": "714-340-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "COLLEEN",
"middle_name": "M.",
"credential": "MA., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "136743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.