Active NPI
Laura Louese Phelan-Shahin, MA, LMFT
- Marriage & Family Therapist
- Eureka, CA
National Provider Identifier
1720213739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT78923
- Practice address
- 2822 Harris St
Eureka, CA 95503-4809 - Phone
- (707) 672-3818
- NPI assigned
- May 19, 2009
- 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 | LMFT78923 | CA | Primary |
Addresses
Primary practice location
2822 Harris St
Eureka, CA 95503-4809
Mailing address
2822 Harris St
Eureka, CA 95503-4809
Phone (707) 672-3818
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT78923 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Counseling Center | Past | Accepting new patients | |
| Remi Vista Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Eureka, CA
- NPI 1497923312
-
- Case Management Agency
- Eureka, CA
- NPI 1558314161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1720213739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034809",
"telephone_number": "707-672-3818",
"fax_number": "707-445-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2822 HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034809",
"telephone_number": "707-672-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN-SHAHIN",
"first_name": "LAURA",
"middle_name": "LOUESE",
"name_prefix": "Ms.",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT78923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.