Shawn G Benjaminson, MFC34635

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

34635 Issued in CA

Practice address

2690 Lake Forest Road
Suite 202
Tahoe City, CA 96145-7322

Phone

(530) 581-4054

Fax

(530) 583-4282

NPI assigned

Mar 8, 2007

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

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Sierra Mental Wellness Group

  • Community/Behavioral Health Agency
  • Tahoe City, CA
  • NPI 1811029754
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891826863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7322",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961457322",
            "telephone_number": "530-581-4054",
            "fax_number": "530-583-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 LAKE FOREST ROAD",
            "address_2": "SUITE 202",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961457322",
            "telephone_number": "530-581-4054",
            "fax_number": "530-583-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMINSON",
        "first_name": "SHAWN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MFC34635",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Eldridge Barr, L.AC., DIPL.AC.
• Richard Paul Bozzio, M.P.T.
• Christina Campbell, N.D., D.C.
• Tyler Beth Caudle
• Robert Edward Claman, D.D.S.
• Lauren Corda, L.AC.

• Marriage & Family Therapist in Tahoe City, CA
• Providers in Tahoe City, 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 Jul 8, 2007; 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.