Individual provider Active NPI

Shannon Deon Morell, LMFT

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1609176007
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT103953 Issued in CA
Practice address
420 N El Camino Real
Oceanside, CA 92058-7868
Phone
(760) 212-4311
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 LMFT103953 CA Primary

Addresses

Primary practice location

420 N El Camino Real
Oceanside, CA 92058-7868

Mailing address

825 College Blvd Ste 102-336
Oceanside, CA 92057-6263
Phone (760) 212-4311

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL legacylifecc@gmail.com Direct
CONNECT URL Legacylifecc@gmail.com

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
LMFT103953CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Life Counseling & Consulting Inc CurrentSince Oct 25, 2020 Accepting new patients

Locations

825 College Blvd
Ste 102336
Oceanside, CA 92057

420 N El Camino Real
Oceanside, CA 92058
Phone (760) 212-4311

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609176007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 COLLEGE BLVD STE 102-336",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576263",
            "telephone_number": "760-212-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587868",
            "telephone_number": "760-212-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "SHANNON",
        "middle_name": "DEON",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT103953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "legacylifecc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "825 College blvd suite 102-336",
            "city": "oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Legacylifecc@gmail.com",
            "affiliation": "Y",
            "address_1": "420 N El Camino Real",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920587868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.