MARIANA NENADIC SHANKS LMFT
NPI 1699249532
Marriage & Family Therapist in San Jose, CA

Q: What is Mariana Shanks's NPI number?

The NPI number for Mariana Shanks is 1699249532. It was assigned to this individual provider in the NPPES registry on January 14, 2019. The provider is also known as Mariana Nenadic Shanks.

Q: What is Mariana Shanks's specialty?

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

Q: Is Mariana Shanks enrolled in Medicare?

No. Mariana Shanks 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.

Q: When was this NPI record last updated?

The NPPES record for Mariana Shanks was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 14, 2019Opted out of Medicare · through Jan 1, 2028

3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124(408) 540-4514 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mariana Nenadic Shanks Lmft NPPES

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

MARIANA NENADIC SHANKS LMFT (NPI 1699249532) is an individual marriage & family therapist in San Jose, California, licensed in California (53697) and active in the NPI registry since January 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1699249532

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARIANA NENADIC SHANKSCredential: LMFT

Location Address3880 S BASCOM AVE STE 202San Jose, CA 95124-2675

Mailing Address3880 S Bascom Ave Ste 202San Jose, CA 95124-2675 · (408) 540-4514

Phone(408) 540-4514

Sole ProprietorYes

Enumeration DateJanuary 14, 2019

✔ NPI 1699249532 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 · 53697

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.

3880 S BASCOM AVE STE 202, San Jose, CA 95124

Open in Google Maps ↗

Other Names 1

Professional Name (2)Mariana Nenadic Shanks

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mariana Nenadic Shanks 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 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

Leave this field empty

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.

CHRISTINE LEE

Counselor (Mental Health)