SHELLIE LEE REVILLA
NPI 1699409482
Marriage & Family Therapist in Campbell, CA

Q: What is Shellie Revilla's NPI number?

The NPI number for Shellie Revilla is 1699409482. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Q: What is Shellie Revilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shellie Revilla was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 15, 2022

4916 POPLAR TER, CAMPBELL, CA 95008(408) 202-3992 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shellie Lee Revilla NPPES

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

SHELLIE LEE REVILLA (NPI 1699409482) is an individual marriage & family therapist in Campbell, California, licensed in California (MFT35689) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699409482

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHELLIE LEE REVILLA

Location Address4916 POPLAR TERCampbell, CA 95008-5717

Mailing Address4916 Poplar TerCampbell, CA 95008-5717 · (408) 202-3992

Phone(408) 202-3992

Sole ProprietorYes

Enumeration DateJuly 15, 2022

NPPES CertifiedJuly 15, 2022

✔ NPI 1699409482 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 · MFT35689

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.

4916 POPLAR TER, Campbell, CA 95008

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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

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 Shellie Revilla's NPI number?

The NPI number for Shellie Revilla is 1699409482. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Shellie Revilla located?

Shellie Revilla practices at 4916 Poplar Ter, Campbell, CA 95008. The listed phone number is (408) 202-3992.

What is Shellie Revilla'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 Shellie Revilla was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.