SHANTAE BENNETT LMFT
NPI 1679350730
Counselor - Mental Health in Anaheim, CA
About Shantae Bennett Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTAE BENNETT LMFT (NPI 1679350730) is an individual mental health provider in Anaheim, California, licensed in California (325675) and active in the NPI registry since September 2023. She has opted out of Medicare through March 2, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shantae Bennett Lmft 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 March 2, 2026 through March 2, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shantae Bennett's NPI number?
The NPI number for Shantae Bennett is 1679350730. It was assigned to this individual provider in the NPPES registry on September 12, 2023.
Where is Shantae Bennett located?
Shantae Bennett practices at 6200 E Canyon Rim Rd Ste 107C, Anaheim, CA 92807. The listed phone number is (714) 900-2653.
What is Shantae Bennett's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shantae Bennett enrolled in Medicare?
No. Shantae Bennett has opted out of Medicare through March 2, 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 Shantae Bennett was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Shantae Bennett, LMFT · NPI 1679350730
Mental Health provider in Anaheim, California. Individual provider, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1679350730 (Entity type: Individual)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 325675 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6200 E CANYON RIM RD STE 107C, Anaheim, CA 92807-4313
- **Phone:** (714) 900-2653
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 2, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679350730) · Data from the CMS NPPES public registry.