Shannon Lee, L.M.F.T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47482 Issued in CA

Practice address

3111 Los Feliz Blvd Ste 106
Los Angeles, CA 90039

Phone

(323) 741-0044

Fax

(323) 522-6542

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Lee Professional name

Electronic endpoints 1

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.

• Hollywood Family Therapy Group, Inc

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1356991137
  NPD Authorized official
• Hollywood Family Therapy, Inc

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1871086983
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1760514939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391599",
            "telephone_number": "323-741-0044",
            "fax_number": "323-522-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039",
            "telephone_number": "323-741-0044",
            "fax_number": "323-522-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@hollywoodtherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted email address",
            "address_1": "3111 Los Feliz Blvd Ste 106",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LEE",
            "credential": "M.A., M.F.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seungah Madison Lee, L.AC.
• Seungdeok Lee
• Seunghun Lee, L.AC.
• Seungyong Lee, LAC
• Shan-O Lee, D.D.S.
• Shannon Jiyoung Lee, MD
• Shari Denise Lee, MFT
• Sharon Kim Lee, OTR/L
• Shauna R. Lee, D.D.S.
• Shawn D. Lee, D.C.

• 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 May 16, 2020; 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.