MARISA SHANAHAN
NPI 1255943080
Marriage & Family Therapist in Sebastopol, CA

Active since August 21, 2020PECOS Enrolled
2264 GREEN HILL RD, SEBASTOPOL, CA 95472(707) 823-3385 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marisa Shanahan NPPES

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

MARISA SHANAHAN (NPI 1255943080) is a marriage & family therapist provider in Sebastopol, California and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).Information from the official NPPES registry record, last updated August 28, 2024.

NPPES Registry Identity

NPI1255943080
Entity TypeIndividualFemale
Provider Legal NameMARISA SHANAHAN
Location Address2264 GREEN HILL RDSebastopol, CA 95472-9034
Mailing Address2264 Green Hill RdSebastopol, CA 95472-9034 · (707) 823-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 21, 2020
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1255943080 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Marriage & Family Therapist

Taxonomy 106H00000X · Behavioral Health & Social Service Providers

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… Show more

Also Listed

Counselor · Mental Health

Taxonomy 101YM0800X · Behavioral Health & Social Service Providers

2264 GREEN HILL RD, Sebastopol, CA 95472

Medicare Participation & PECOS Enrollment Status

Marisa Shanahan is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Marisa Shanahan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890283998

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251021003535

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MARISA SHANAHAN

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2264 GREEN HILL RD
SEBASTOPOL, CA 95472
Nurse Practitioner (Family)
2264 GREEN HILL RD
SEBASTOPOL, CA 95472
Nurse Practitioner (Family)
2264 GREEN HILL RD
SEBASTOPOL, CA 95472
Substance Abuse Rehabilitation Facility
2264 GREEN HILL RD
SEBASTOPOL, CA 95472
Substance Abuse Rehabilitation Facility
2264 GREEN HILL RD
SEBASTOPOL, CA 95472

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255943080, enumerated as an "individual" on August 21, 2020.

The provider is located at 2264 GREEN HILL RD SEBASTOPOL, CA 95472 and the phone number is (707) 823-3385.

Marriage & Family Therapist with taxonomy code 106H00000X.