Shannon Bates, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119590 Issued in CA

Practice address

900 Los Osos Valley Rd Ste C
Los Osos, CA 93402-3268

Phone

(805) 704-4724

NPI assigned

Oct 3, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1770032674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 TAYLOR PL",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LOS OSOS VALLEY RD STE C",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023268",
            "telephone_number": "805-704-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "SHANNON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Baltimore, P.T.
• Jeffrey Bryan Bariel, PA-C
• Kathryn Gaoiran Bartlett, PHARMD
• Sara Bartlett
• Jill Marie Bates, LMFT
• John Joseph Battalino, DO
• Shawn Michael Bean, DC
• Kathleen Whalen Benedict, M.S., CCC-SLP
• Terry Jo Ann Benko, PT
• Stella M Blanco

• Marriage & Family Therapist in Los Osos, CA
• Providers in Los Osos, 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 Jul 17, 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.