Active NPI
Shelby Kendall Rich Lewick
- Marriage & Family Therapist
- Mission Viejo, CA
National Provider Identifier
1942786413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT138659
- Practice address
- 25910 Acero Ste 160
Mission Viejo, CA 92691-2777 - Phone
- (877) 527-7227
- NPI assigned
- Jul 17, 2018
- Last updated
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT138659 | CA | MD | Marriage & 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.