SHANNON RENEE NAVARRO MFTI
NPI 1174872261
Marriage & Family Therapist in Petaluma, CA

Active since September 05, 2012Opted out of Medicare · through Jan 18, 2028
1500 PETALUMA BLVD S, PETALUMA, CA 94952(707) 559-2507 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1174872261
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON RENEE NAVARROCredential: MFTI
Location Address1500 PETALUMA BLVD SPetaluma, CA 94952-5545
Mailing Address23 Locke LnMill Valley, CA 94941-2112
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
Last NPPES UpdateAugust 12, 2015
NPI 1174872261 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 · 78523
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.

1500 PETALUMA BLVD S, Petaluma, CA 94952

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.

Opt-Out Effective DateJanuary 18, 2024
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
1500 PETALUMA BLVD S, SUITE A
PETALUMA, CA 94952
Counselor
1500 PETALUMA BLVD S, #A
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S, SUITE A
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Student in an Organized Health Care Education/Training Program
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
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 with the weekly NPPES data releases published by CMS.