SHANNON RYAN LMFT
NPI 1255565867
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Shannon Ryan's NPI number?

The NPI number for Shannon Ryan is 1255565867. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Q: What is Shannon Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Ryan was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2009

540 MIDDLE RINCON RD, SANTA ROSA, CA 95409(707) 909-0168 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2020, Jun 21, 2016 (2 updates tracked since 2016).

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About Shannon Ryan Lmft NPPES

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

SHANNON RYAN LMFT (NPI 1255565867) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (44076) and active in the NPI registry since May 2009. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255565867

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANNON RYANCredential: LMFT

Location Address540 MIDDLE RINCON RDSanta Rosa, CA 95409-3107

Mailing Address540 Middle Rincon RdSanta Rosa, CA 95409-3107 · (707) 909-0168

Phone(707) 909-0168

Sole ProprietorYes

Enumeration DateMay 11, 2009

Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2023

✔ NPI 1255565867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 44076✔ Licensed in NV · 01154

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.

540 MIDDLE RINCON RD, Santa Rosa, CA 95409

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Secondary Practice Locations 2

Location 11456 Professional Dr Ste 406Petaluma, CA 94954-6639 · Phone (707) 273-1007

Location 21500 Petaluma Blvd SPetaluma, CA 94952-5545 · Phone (707) 765-8488

Other Identifiers 2

Other01154NV · Nv Board Of Marriage And Family Therapist

Other44076CA · State License

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.

MRS. CYNTHIA PARDO-NIETO R.A.S.I

Counselor (Addiction (Substance Use Disorder))