Individual provider Active NPI

Susan Shauna Hoffman, MFT

  • Marriage & Family Therapist
  • Newhall, CA
National Provider Identifier
1902567779
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35075 Issued in CA
Practice address
24359 Walnut St Ste a
Newhall, CA 91321-6101
Phone
(661) 714-5137
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 35075 CA Primary

Addresses

Primary practice location

24359 Walnut St Ste a
Newhall, CA 91321-6101

Mailing address

24359 Walnut St Ste a
Newhall, CA 91321-6101
Phone (661) 714-5137

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shauna@workingonme.com Direct
CONNECT URL shauna@workingonme.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 21, 2024 through Jan 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35075CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1902567779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24359 WALNUT ST STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913216101",
            "telephone_number": "661-714-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24359 WALNUT ST STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913216101",
            "telephone_number": "661-714-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SUSAN",
        "middle_name": "SHAUNA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "35075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shauna@workingonme.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24359 Walnut St Ste A",
            "city": "Newhall",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913216101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shauna@workingonme.com",
            "affiliation": "N",
            "endpointDescription": "website email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "24359 Walnut St Ste A",
            "city": "Newhall",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913216101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.