Individual provider Active NPI

Stephanie Joy Shockney, MFT

  • Marriage & Family Therapist
  • Santa Fe Springs, CA
National Provider Identifier
1669599759
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT91323 Issued in CA
Practice address
11731 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-6819
Phone
(562) 942-8256
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF 47985 CA
Marriage & Family Therapist 106H00000X LMFT91323 CA Primary

Addresses

Primary practice location

11731 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-6819

Mailing address

11731 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-6819
Phone (562) 942-8256

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
91323CAMDMental Health Counselor
IMF 47985CAMDMental Health Counselor
LMFT91323CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1669599759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11731 TELEGRAPH RD STE G",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706819",
            "telephone_number": "562-942-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11731 TELEGRAPH RD STE G",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706819",
            "telephone_number": "562-942-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKNEY",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 47985",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT91323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.