Individual provider Active NPI

Shelby Kendall Rich Lewick

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1942786413
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT138659 Issued in CA
Practice address
25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone
(877) 527-7227
NPI assigned
Jul 17, 2018
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X AMFT138659 CA Primary

Addresses

Primary practice location

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Other practice location 1

100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Phone (626) 395-7100 ext. 2558

Other practice location 2

1650 Spruce St Ste 250
Riverside, CA 92507-7429
Phone (909) 559-5381

Other practice location 3

1425 W Foothill Blvd Fl 3
Upland, CA 91786-8007
Phone (877) 527-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT138659CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1942786413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "877-527-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Walnut St Ste 375",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911240001",
            "country_code": "US",
            "telephone_number": "626-395-7100 x2558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Spruce St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925077429",
            "country_code": "US",
            "telephone_number": "909-559-5381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 W Foothill Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917868007",
            "country_code": "US",
            "telephone_number": "877-527-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWICK",
        "first_name": "SHELBY",
        "middle_name": "KENDALL RICH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT138659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.