SHANNON RENEE NAVARRO MFTI
NPI 1174872261
Marriage & Family Therapist in Petaluma, CA
About Shannon Renee Navarro Mfti NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON RENEE NAVARRO MFTI (NPI 1174872261) is an individual marriage & family therapist in Petaluma, California, licensed in California (78523) and active in the NPI registry since September 2012. She has opted out of Medicare through January 18, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shannon Renee Navarro Mfti has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2024 through January 18, 2028.
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.
PETALUMA, CA 94952
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 Navarro's NPI number?
The NPI number for Shannon Navarro is 1174872261. It was assigned to this individual provider in the NPPES registry on September 5, 2012.
Where is Shannon Navarro located?
Shannon Navarro practices at 1500 Petaluma Blvd S, Petaluma, CA 94952. The listed phone number is (707) 559-2507.
What is Shannon Navarro's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Shannon Navarro enrolled in Medicare?
No. Shannon Navarro has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Shannon Navarro was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shannon Renee Navarro, MFTI · NPI 1174872261
Marriage & Family Therapist provider in Petaluma, California. Individual provider, active in the CMS NPPES registry since September 5, 2012.
## Identity
- **NPI:** 1174872261 (Entity type: Individual)
- **Enumerated:** September 5, 2012
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 78523 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 PETALUMA BLVD S, Petaluma, CA 94952-5545
- **Phone:** (707) 559-2507
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1174872261) · Data from the CMS NPPES public registry.