SHANNAH ROSTON-COOPER
NPI 1376951707
Marriage & Family Therapist in San Leandro, CA

Q: What is Shannah Roston-cooper's NPI number?

The NPI number for Shannah Roston-cooper is 1376951707. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Q: What is Shannah Roston-cooper's specialty?

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

Active since July 29, 2014PECOS Enrolled

2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 27, 2019, Aug 28, 2017 (2 updates tracked since 2017).

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About Shannah Roston-cooper NPPES

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

SHANNAH ROSTON-COOPER (NPI 1376951707) is an individual marriage & family therapist in San Leandro, California, licensed in California (139053) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376951707

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANNAH ROSTON-COOPER

Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132

Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444

Phone(510) 317-1444

Sole ProprietorNo

Enumeration DateJuly 29, 2014

Last NPPES UpdateApril 21, 20232 updates tracked since enumeration

NPPES CertifiedApril 21, 2023

✔ NPI 1376951707 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 · 139053

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.

2275 ARLINGTON DR, San Leandro, CA 94578

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannah Roston-cooper is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannah Roston-cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

16 mi

Internal Medicine

1190 VETERANS BLVD
Redwood City, CA 94063

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANUSHEH N WARDA

Counselor