Timothy William Shaffer, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-15888 Issued in AZ

Practice address

4414 N 19TH Ave
Phoenix, AZ 85015-4114

Phone

(602) 285-5550

Fax

(602) 285-5551

NPI assigned

Feb 11, 2021

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Traumawise LLC

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1568342319

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1891388724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154114",
            "telephone_number": "602-285-5550",
            "fax_number": "602-285-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154114",
            "telephone_number": "602-285-5550",
            "fax_number": "602-285-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15888",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Shaff, PA-C
• Alyssa Shaffer, MA, LAC, NCC
• Christopher Max Shaffer
• Matthew Shaffer
• Tiffany Shaffer
• Whitney Shantel Shaffer, MD
• Bilal Shafi, D.D.S.
• Humaira Shafi, M.D.
• Salim Shafi, DDS
• David H Shafron, M.D.

• Marriage & Family Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.