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SHANNON NOSENZO-GOODMAN LMFT
NPI 1104961630
Marriage & Family Therapist in San Marcos, CA

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
1132 SAN MARINO DR STE 204, SAN MARCOS, CA 92078(209) 920-7828(760) 471-1803 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2020, Mar 19, 2018, Nov 16, 2015 (3 updates tracked since 2015).

About Shannon Nosenzo-goodman Lmft NPPES

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

SHANNON NOSENZO-GOODMAN LMFT (NPI 1104961630) is an individual marriage & family therapist in San Marcos, California, licensed in California (42520) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104961630
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON NOSENZO-GOODMANCredential: LMFT
Location Address1132 SAN MARINO DR STE 204San Marcos, CA 92078-4600
Mailing Address1626 La Tierra LnSan Marcos, CA 92078-4619 · (760) 402-4947
Phone(209) 920-7828
Fax(760) 471-1803
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 21, 2007
Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration
✔ NPI 1104961630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 42520
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.
Also ListedSocial WorkerTaxonomy 104100000X · License LMFT42520 (CA)
1132 SAN MARINO DR STE 204, San Marcos, CA 92078
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Nosenzo-goodman Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284087503
PECOS Enrollment IDI20240201004092
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 Reassignment

Medicare enrollment records show Shannon Nosenzo-goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Therapy Group
0.1 mi
Marriage & Family Therapist
1132 SAN MARINO DR STE 209
San Marcos, CA 92078
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1821948845 (209) 920-7828

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

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

CHARA THERAPEUTIC SERVICES
Community/Behavioral Health
1132 SAN MARINO DR STE 204
SAN MARCOS, CA 92078
San Diego County (760) 410-8021

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 Nosenzo-goodman's NPI number?

The NPI number for Shannon Nosenzo-goodman is 1104961630. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Shannon Nosenzo-goodman located?

Shannon Nosenzo-goodman practices at 1132 San Marino Dr Ste 204, San Marcos, CA 92078. The listed phone number is (209) 920-7828.

What is Shannon Nosenzo-goodman's specialty?

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

Is Shannon Nosenzo-goodman enrolled in Medicare?

Yes. Shannon Nosenzo-goodman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Nosenzo-goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Nosenzo-goodman reassigns Medicare benefits to Lifespan Therapy Group (San Marcos, CA). The 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 Nosenzo-goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Nosenzo-goodman was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.