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

Q: What is Marisa Shanahan's NPI number?

The NPI number for Marisa Shanahan is 1255943080. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Q: What is Marisa Shanahan'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 Marisa Shanahan was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 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: August 09, 2026.

On this page

About Marisa Shanahan NPPES

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

MARISA SHANAHAN (NPI 1255943080) is an individual marriage & family therapist 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).

NPPES Registry Identity

NPI1255943080

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARISA SHANAHAN

Location Address2264 GREEN HILL RDSebastopol, CA 95472-9034

Mailing Address2264 Green Hill RdSebastopol, CA 95472-9034 · (707) 823-3385

Phone(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.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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

2264 GREEN HILL RD, Sebastopol, CA 95472

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Shanahan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890283998

PECOS Enrollment IDI20251021003535

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

THE CAMP RECOVERY CENTER, LLC

Substance Abuse Rehabilitation Facility