Individual provider Active NPI

Shelley Anita Ruhlen Ponce, AMFT

  • Marriage & Family Therapist
  • Arcata, CA
National Provider Identifier
1821734278
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT162255 Issued in CA
Practice address
381 Bayside Rd Ste D
Arcata, CA 95521-7102
Phone
(707) 440-9380
NPI assigned
May 9, 2022
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT162255 CA Primary

Addresses

Primary practice location

381 Bayside Rd Ste D
Arcata, CA 95521-7102

Mailing address

1372 Lincoln Ave
Arcata, CA 95521-5338
Phone (707) 499-3363

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT162255CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1821734278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 LINCOLN AVE",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215338",
            "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": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT162255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.