Individual provider Active NPI

Shannon Lahey

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1902444136
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138985 Issued in CA
Practice address
29748 Rancho California Rd
Temecula, CA 92591-5286
Phone
(951) 694-0695
Fax
(951) 695-6215
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 138985 CA Primary

Addresses

Primary practice location

29748 Rancho California Rd
Temecula, CA 92591-5286

Mailing address

29748 Rancho California Rd
Temecula, CA 92591-5286
Phone (951) 694-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003898 CA Practitioner - Marriage and Family Therapist 3870943871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novell and Novell CounselingGroup PAC ID 1951686336, 11 clinicians

Practice addresses (Care Compare)

29748 Rancho California Rd
Temecula, CA 92591-5286
Phone (951) 694-0695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138985CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novell & Novell Counseling Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Novell & Novell Counseling Services, Inc. Marriage & Family Therapist PastSince Dec 22, 2019 Accepting new patients

Locations

29748 Rancho California Rd
Temecula, CA 92591
Phone (951) 252-9911

Organizations & group practices 2

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1902444136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29748 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915286",
            "telephone_number": "951-694-0695",
            "fax_number": "951-695-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29748 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915286",
            "telephone_number": "951-694-0695",
            "fax_number": "951-695-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHEY",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.