Shannon Rodriguez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150251 Issued in CA

Practice address

31526 Railroad Canyon Rd Ste 5
Canyon Lake, CA 92587-9443

Phone

(951) 219-3255

NPI assigned

Oct 20, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sacred Space Marriage Therapy, Prof. Corp

  • Marriage & Family Therapist
  • Lake Elsinore, CA
  • NPI 1689526311
  NPD Authorized official
• Sacred Space Marriage Therapy, Prof. Corp

  • Marriage & Family Therapist
  • Canyon Lake, CA
  • NPI 1831059468
  NPD Authorized official
• Mfi Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Murrieta, CA
  • NPI 1689851917
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1750832226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31724 CASINO DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304510",
            "telephone_number": "951-219-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31526 RAILROAD CANYON RD STE 5",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879443",
            "telephone_number": "951-219-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabilla Z. Rabani, CA BBC
• Rapha Acupuncture Herb Clinic Inc.
• Anela Gail Richie, LMFT
• Geoffrey Brent Robinson, D.D.S.
• William Brent Robinson, DDS
• Alexis Rosen
• Sacred Space Marriage Therapy, Prof. Corp
• Susan Lynn Shuman, RN
• Daniele Smith-Morton, DR. (EDD)
• Valerie Lynn Spalding, NP

• Marriage & Family Therapist in Canyon Lake, CA
• Providers in Canyon Lake, 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 Nov 20, 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.

Verify at the official NPI Registry.