Lesa Shippelhoute

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124156 Issued in CA

Practice address

3422 S Walton Ave
Yuba City, CA 95993-9240

Phone

(530) 751-1547

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Prothero Marriage and Family Therapist and Associates inGroup PAC ID 0446784326, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael Prothero Marriage and Family Therapist and Associates in

  • Marriage & Family Therapist
  • Yuba City, CA
  • NPI 1265694954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1699345074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 S WALTON AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939240",
            "telephone_number": "530-751-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 S WALTON AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939240",
            "telephone_number": "530-751-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPELHOUTE",
        "first_name": "LESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navneet Shergill
• Meryam Sheriaty, MD
• Thomas William Sherry, MFT
• Naomi H Shieh, M.D.
• Gayle Shields, RPH
• Shiva Salehi DDS a Dental Corp
• Jeffrey Steven Short
• Wanda S Short, LPT 27571
• Sundeep Sidhu
• Sierra Management Services Inc.

• Marriage & Family Therapist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.