1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Marriage Family Therapist
  6. NPI Profile

MR. SHANNON LANCE BEAUDOIN MA
NPI 1518394170
Marriage & Family Therapist in Santa Rosa, CA

Active since September 27, 2013
2227 CAPRICORN WAY STE 207, SANTA ROSA, CA 95407(707) 565-5053 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shannon Lance Beaudoin Ma NPPES

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

MR. SHANNON LANCE BEAUDOIN MA (NPI 1518394170) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (LMFT34176) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1518394170
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SHANNON LANCE BEAUDOINCredential: MA
Location Address2227 CAPRICORN WAY STE 207Santa Rosa, CA 95407-5486
Mailing Address2227 Capricorn Way Ste 207Santa Rosa, CA 95407-5486 · (707) 565-5053
Phone(707) 565-5053
Sole ProprietorNo
Enumeration DateSeptember 27, 2013
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1518394170 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 · LMFT34176✔ Licensed in CA · MFC34176
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.
2227 CAPRICORN WAY STE 207, Santa Rosa, CA 95407
Open in Google Maps ↗

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.

STEPHANIE LUGO SANCHEZ MS
Counselor (Addiction (Substance Use Disorder))
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 565-6738
SARAH PILGRIM LMFT
Marriage & Family Therapist
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 565-4945
NICOLE RENEE STEIN
Social Worker (Clinical)
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 836-6455
JOSSELYN SARAHY VILLALOBOS ROMERO LVN
Licensed Vocational Nurse
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 228-4751
CHRISTINE MICHELE THOMAS LMFT
Marriage & Family Therapist
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 565-4848
CAROLINA VIRAMONTES
Day Training/Habilitation Specialist
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 867-9563
CASSIDY DIANE MCKINNEY
Counselor (Addiction (Substance Use Disorder))
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 295-0239
CHRISTY BOOTH OWENS LMFT
Marriage & Family Therapist
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407
Sonoma County (707) 565-2678

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 Beaudoin's NPI number?

The NPI number for Shannon Beaudoin is 1518394170. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Shannon Beaudoin located?

Shannon Beaudoin practices at 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407. The listed phone number is (707) 565-5053.

What is Shannon Beaudoin's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Beaudoin was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.