Shelley Anita Ruhlen Ponce, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT139952 Issued in CA

Practice address

381 Bayside Rd Ste D
Arcata, CA 95521-7102

Phone

(707) 440-9380

NPI assigned

May 9, 2022

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1821734278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433A FRESHWATER RD",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955039411",
            "telephone_number": "707-499-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 BAYSIDE RD STE D",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955217102",
            "telephone_number": "707-440-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHLEN PONCE",
        "first_name": "SHELLEY",
        "middle_name": "ANITA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT139952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Max Rousselot, PA-C
• Richard Roybal
• Keaton Marie Royle Strasser
• Jerryl Lynn Rubin, M.D.
• Halona Rude, RN
• Whitney Rune, MSW, ACSW
• Debbie Leanne Runyon, RN
• Memory Lee Rush, M.S.W.
• Russell T. Terrill Aud
• Laura Ryan, RN

• Marriage & Family Therapist in Arcata, CA
• Providers in Arcata, 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 Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.