Individual provider Active NPI

Shanti Regester, MACP

  • Marriage & Family Therapist
  • Norwalk, CA
National Provider Identifier
1619106325
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT92756 Issued in CA
Practice address
12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319
Phone
(562) 864-3722
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96702 CA
Marriage & Family Therapist 106H00000X IMF72600 CA
Marriage & Family Therapist 106H00000X LMFT92756 CA Primary

Addresses

Primary practice location

12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319

Mailing address

12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319

Other practice location 1

10221 Compton Ave
Los Angeles, CA 90002-2802
Phone (213) 383-2765 ext. 7533

Other names 1

  • Shanti Smith Former name

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
96702CAMDMarriage & Family Therapist
IMF72600CAMDMarriage & Family Therapist
LMFT92756CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helpline Youth Counseling, Inc. Past Accepting new patients

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619106325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 316",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 316",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509319",
            "telephone_number": "562-864-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10221 Compton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900022802",
            "country_code": "US",
            "telephone_number": "213-383-2765 x7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGESTER",
        "first_name": "SHANTI",
        "name_prefix": "Mrs.",
        "credential": "MACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96702",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF72600",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT92756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTI",
            "last_name": "SMITH",
            "credential": "LMFT 92756",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.