Individual provider Active NPI

Shelby McClure Behrens

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1902370554
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115160 Issued in CA
Practice address
55 Santa Clara Ave Ste 200
Oakland, CA 94610-1319
Phone
(888) 588-8995
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 115160 CA Primary

Addresses

Primary practice location

55 Santa Clara Ave Ste 200
Oakland, CA 94610-1319

Mailing address

313 Ada Dr
Pacheco, CA 94553-5001
Phone (925) 407-6595

Other practice location 1

595 Buckingham Way Ste 343
San Francisco, CA 94132-1911
Phone (888) 588-8995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618002441 CA Practitioner - Marriage and Family Therapist 4183167232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115160CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Marriage & Family Therapist CurrentSince Jun 5, 2024 Accepting new patients

Locations

1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379

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.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1902370554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 ADA DR",
            "city": "PACHECO",
            "state": "CA",
            "postal_code": "945535001",
            "telephone_number": "925-407-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101319",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Buckingham Way Ste 343",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321911",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE BEHRENS",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.