Shana Chan Pope, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

77510 Issued in CA

Practice address

11949 Jefferson Blvd #106
Culver City, CA 90230

Phone

(424) 258-5435

Fax

(310) 829-9055

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1972902724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 JEFFERSON BLVD STE 106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306336",
            "telephone_number": "424-258-5435",
            "fax_number": "310-829-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 JEFFERSON BLVD #106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "424-258-5435",
            "fax_number": "310-829-9055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 N Kuakini St Apt 6A",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968172447",
            "country_code": "US",
            "telephone_number": "424-258-5435",
            "fax_number": "310-905-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPE",
        "first_name": "SHANA",
        "middle_name": "CHAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "587",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatry Institute of Southern California Inc.
• Barbara Pohanish, LVN
• Gina O'Leary Kirkland Polesetsky, AMFT
• Kelly Denise Pollard
• Celia Pool
• Gabriel Popescu
• Vanessa Anne Porea, LLPC (MICHIGAN)
• Evan Porter
• Jessica Joyce Porter
• Martin Porter

• Marriage & Family Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.