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MS. SHANNON D MYERS MFT
NPI 1548440209
Marriage & Family Therapist in San Rafael, CA

Active since November 10, 2007Opted out of Medicare · through Jan 1, 2028
711 D ST, SUITE 201, SAN RAFAEL, CA 94901(415) 454-5191(415) 454-5191 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shannon D Myers Mft NPPES

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

MS. SHANNON D MYERS MFT (NPI 1548440209) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFC40174) and active in the NPI registry since November 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1548440209
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. SHANNON D MYERSCredential: MFT
Location Address711 D ST, SUITE 201San Rafael, CA 94901-3707
Mailing Address711 D St, Suite 201San Rafael, CA 94901-3707 · (415) 454-5191 · Fax (415) 454-5191
Phone(415) 454-5191
Fax(415) 454-5191
Sole ProprietorYes
Enumeration DateNovember 10, 2007
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1548440209 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 · MFC40174
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.
711 D ST, San Rafael, CA 94901
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Other Identifiers 1

Other45-3859688CA · Ein #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Shannon D Myers Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

YEVGENIYA V GARANINA
Counselor (Mental Health)
711 D ST
SAN RAFAEL, CA 94901
Marin County (415) 515-3279
DR. ANN GOLD BUSCHO PH.D.
Psychologist
711 D ST, SUITE 207
SAN RAFAEL, CA 94901
Marin County (415) 456-0952
DR. JEFFREY I FRIEDMAN DC
Chiropractor
711 D ST, SUITE 104
SAN RAFAEL, CA 94901
Marin County (415) 459-4646
MS. LINDA SILVER LMFT
Counselor (Mental Health)
711 D ST, #201
SAN RAFAEL, CA 94901
Marin County (415) 257-8872
DR. FERNANDO ULLOA M.D.
Pediatrics (Adolescent Medicine)
711 D ST, SUITE 113
SAN RAFAEL, CA 94901
Marin County (415) 454-4100
MR. STEPHEN M GROSS M.A.
Marriage & Family Therapist
711 D ST, SUITE 201
SAN RAFAEL, CA 94901
Marin County (415) 258-0449
MR. KENNETH A TUCKER P.T.
Physical Therapist
711 D ST, #102
SAN RAFAEL, CA 94901
Marin County (415) 456-3551
MARIA LOURDES QUESADA MFT
Marriage & Family Therapist
711 D ST
SAN RAFAEL, CA 94901
Marin County (415) 517-1309

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 Myers's NPI number?

The NPI number for Shannon Myers is 1548440209. It was assigned to this individual provider in the NPPES registry on November 10, 2007.

Where is Shannon Myers located?

Shannon Myers practices at 711 D St Suite 201, San Rafael, CA 94901. The listed phone number is (415) 454-5191.

What is Shannon Myers's specialty?

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

Is Shannon Myers enrolled in Medicare?

No. Shannon Myers has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Myers was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.