Individual provider Active NPI

Shelby Claire Stone, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1770004103
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112223 Issued in CA
Practice address
1452 26TH St Ste 203
Santa Monica, CA 90404-3085
Phone
(424) 645-7754
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 112223 CA Primary
Marriage & Family Therapist 106H00000X IMF99980 CA

Addresses

Primary practice location

1452 26TH St Ste 203
Santa Monica, CA 90404-3085

Mailing address

1452 26TH St Ste 203
Santa Monica, CA 90404-3085
Phone (424) 645-7754

Other practice location 1

3787 S Vermont Ave
Los Angeles, CA 90007-4203
Phone (323) 766-2345

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

State licenses

LicenseStateTypeSpecialty
IMF99980CAMDMarriage & Family Therapist
112223CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1770004103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 26TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043085",
            "telephone_number": "424-645-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 26TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043085",
            "telephone_number": "424-645-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3787 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900074203",
            "country_code": "US",
            "telephone_number": "323-766-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "SHELBY",
        "middle_name": "CLAIRE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112223",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF99980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.