Shannon Yandall Dejesus, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

128629 Issued in CA

Practice address

1807 Robinson Ave
San Diego, CA 92103-7633

Phone

(619) 630-5557

NPI assigned

Mar 4, 2022

Last updated

Mar 4, 2022By the provider in NPPES

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

Electronic endpoints 1

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1770230237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE STE 204D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037634",
            "telephone_number": "619-630-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037633",
            "telephone_number": "619-630-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "SHANNON",
        "middle_name": "YANDALL",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "128629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@kyleighbaker.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1807 Robinson Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921037633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Randell Deja, DPT
• Amelia Picones Dejesus, FNP
• Brittany Dejesus
• Elizabeth D Dejesus, RPH
• Renato Legaspi Dejesus, MHA
• Vicki Dejesus
• Romelle Dejohnette, LCSW
• Paul Anthony Dejulio, M.D.
• Anna Baillie Dekay
• Carolina Del Aguila

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.