SHANNON RAE GRANIGAN-DEMUTH
NPI 1124618442
Marriage & Family Therapist in Ukiah, CA

Q: What is Shannon Granigan-demuth's NPI number?

The NPI number for Shannon Granigan-demuth is 1124618442. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Q: What is Shannon Granigan-demuth's specialty?

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

Active since January 20, 2021

410 JONES ST STE C1, UKIAH, CA 95482(707) 463-0405(707) 313-4999 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Jan 20, 2021 (2 updates tracked since 2021).

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About Shannon Rae Granigan-demuth NPPES

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

SHANNON RAE GRANIGAN-DEMUTH (NPI 1124618442) is an individual marriage & family therapist in Ukiah, California, licensed in California (143116) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1124618442

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANNON RAE GRANIGAN-DEMUTH

Location Address410 JONES ST STE C1Ukiah, CA 95482-5491

Mailing Address410 Jones St Ste C1Ukiah, CA 95482-5491 · (707) 463-0405 · Fax (707) 313-4999

Phone(707) 463-0405

Fax(707) 313-4999

Sole ProprietorYes

Enumeration DateJanuary 20, 2021

Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration

NPPES CertifiedNovember 30, 2023

✔ NPI 1124618442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 143116

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedRehabilitation PractitionerTaxonomy 225400000X

410 JONES ST STE C1, Ukiah, CA 95482

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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.

ARMANDO VALDIVIAS

Case Manager/Care Coordinator