Shane Landherr, LMFT – Marriage & Family Therapist

Key facts

NPI: 1831520105
Entity type: Individual (NPI type 1)
Primary specialty: Marriage & Family Therapist 106H00000X
License: MF000871 (PA)
Practice address: 221 W High St
Suite 1000
Bellefonte, PA 16823-1351
Phone: (814) 531-5659
NPI assigned: Dec 11, 2013
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Centre Marriage and Relational Therapy, LLC Marriage & Family Therapist · Bellefonte, PA · NPI 1598122590

NPD (past) Authorized official MARRIAGE & FAMILY THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MF000871	PA	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
Centre Marriage and Relational Therapy, LLC	Marriage & Family Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Marriage & Family Therapist	106H00000X	MF000871	PA	Yes

Addresses

Primary practice location

221 W High St
Suite 1000
Bellefonte, PA 16823-1351

Mailing address

221 W High St
Suite 1000
Bellefonte, PA 16823-1351
Phone (814) 531-5659

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2016.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1831520105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W HIGH ST",
            "address_2": "SUITE 1000",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231351",
            "telephone_number": "814-531-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W HIGH ST",
            "address_2": "SUITE 1000",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231351",
            "telephone_number": "814-531-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDHERR",
        "first_name": "SHANE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-11",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

All providers in Bellefonte, PA · Marriage & Family Therapist in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.