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SHANNON KLOSAK LMFT
NPI 1013356229
Marriage & Family Therapist in Long Beach, CA

Active since June 20, 2013PECOS Enrolled
324 E BIXBY RD, LONG BEACH, CA 90807(562) 595-8111(562) 595-8148 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Klosak Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON KLOSAK LMFT (NPI 1013356229) is an individual marriage & family therapist in Long Beach, California, licensed in California (LMFT93637) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013356229
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON KLOSAKCredential: LMFT
Location Address324 E BIXBY RDLong Beach, CA 90807-3432
Mailing Address324 E Bixby RdLong Beach, CA 90807-3432 · (562) 595-8111 · Fax (562) 595-8148
Phone(562) 595-8111
Fax(562) 595-8148
Sole ProprietorYes
Enumeration DateJune 20, 2013
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1013356229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT93637
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
324 E BIXBY RD, Long Beach, CA 90807
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Other Names 1

Professional Name (2)Shannon Klosak Catc-iv

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Klosak Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Klosak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
319 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,335 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona, Colorado and Texas enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA CARRASCO
Community Health Worker
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 595-8111
MR. CHRISTOPHER ERIK SMITH
Case Manager/Care Coordinator
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 595-8111
MARK ESTELLE
Case Manager/Care Coordinator
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 595-8111
MR. JUAN CARLOS MALDONADO B.A
Counselor
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 595-8111
DARUNEE PRASOMSRI
Marriage & Family Therapist
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 719-9250
BAYFRONT YOUTH AND FAMILY SERVICES
Case Management
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 595-8111
TINA KUPERMAN
Social Worker (Clinical)
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 645-6479
VANESSA AREVALO
Social Worker (Clinical)
324 E BIXBY RD
LONG BEACH, CA 90807
Los Angeles County (562) 595-8111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Klosak's NPI number?

The NPI number for Shannon Klosak is 1013356229. It was assigned to this individual provider in the NPPES registry on June 20, 2013. The provider is also known as Shannon Klosak Catc-Iv.

Where is Shannon Klosak located?

Shannon Klosak practices at 324 E Bixby Rd, Long Beach, CA 90807. The listed phone number is (562) 595-8111.

What is Shannon Klosak's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Shannon Klosak enrolled in Medicare?

Yes. Shannon Klosak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Klosak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Klosak reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Klosak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Klosak accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Shannon Klosak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Klosak was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.