Active NPI
Shanese Passmore, LMFT
- Marriage & Family Therapist
- Indianapolis, IN
National Provider Identifier
1689435711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35002467A
- Practice address
- 6401 Gateway Dr Unit 53972
Indianapolis, IN 46253-5356 - Phone
- (317) 551-2779
- NPI assigned
- Jan 16, 2024
- Last updated
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 35002467A | IN | Primary |
Addresses
Primary practice location
6401 Gateway Dr Unit 53972
Indianapolis, IN 46253-5356
Mailing address
6401 Gateway Dr Unit 53972
Indianapolis, IN 46253-5356
Phone (317) 551-2779
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35002467A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1689435711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 GATEWAY DR UNIT 53972",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462535356",
"telephone_number": "317-551-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 GATEWAY DR UNIT 53972",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462535356",
"telephone_number": "317-551-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSMORE",
"first_name": "SHANESE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35002467A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Password Community Mentoring, Inc.
- Sonak Dinesh Pastakia, PHARMD
- Kristin A Pastrick, LCSW
- Sarah Kathleen Pastrick, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.