Shelly Anne Gutensohn, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

115296 Issued in CA

Practice address

506 S Spring St Unit 13308
Los Angeles, CA 90013-3215

Phone

(310) 564-6749

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Reset Summer Camp

  • Marriage & Family Therapist
  • Santa Barbara, CA
  • NPI 1346949815
  NPD Authorized official
• The Restorative Therapy Project

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1528696507
  NPD Authorized official

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1699394676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S SPRING ST UNIT 13308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900133215",
            "telephone_number": "310-564-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S SPRING ST UNIT 13308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900133215",
            "telephone_number": "310-564-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTENSOHN",
        "first_name": "SHELLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "115296",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Gustafson
• Gustavo a Alza MD a Medical Corporation
• Mary Jo Gustin, D.C.
• Sarah N Gustin, RD
• Kimberly Ann Gustovich, M.A., CCC-A
• Eduard M. Gutgarts, D.D.S.
• Diana S Guth, RRT
• Eve S. Guth, MD
• Kevin Brant Guthmiller, M.D.
• Monica R Guthrie

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 4, 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.