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SHANNON SHERNEICE RUCKER MFT
NPI 1730386442
Marriage & Family Therapist in Oakland, CA

Active since June 27, 2007PECOS Enrolled
4000 BROADWAY, SUITE #3, OAKLAND, CA 94611(510) 725-7450(510) 923-9006 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Sherneice Rucker Mft NPPES

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

SHANNON SHERNEICE RUCKER MFT (NPI 1730386442) is an individual marriage & family therapist in Oakland, California, licensed in California (43728) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730386442
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON SHERNEICE RUCKERCredential: MFT
Location Address4000 BROADWAY, SUITE #3Oakland, CA 94611-5670
Mailing Address4000 Broadway Street, Suite #3Oakland, CA 94611-5670 · (510) 725-7450 · Fax (510) 923-9006
Phone(510) 725-7450
Fax(510) 923-9006
Sole ProprietorYes
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 22, 2008
✔ NPI 1730386442 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 · 43728
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.
4000 BROADWAY, Oakland, CA 94611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Sherneice Rucker Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVE BAZO LCSW
Social Worker (Clinical)
4000 BROADWAY, SUITE 1
OAKLAND, CA 94611
Alameda County (510) 214-3788
MS. ELIZABETH M MIRANDA M.A., MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE 4
OAKLAND, CA 94611
Alameda County (510) 992-3630
MS. MOSI MAYS-MIREMBE MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE 3
OAKLAND, CA 94611
Alameda County (510) 301-1443
JUANITA M DIMAS PH.D.
Psychologist (Clinical)
4000 BROADWAY, SUITE 1
OAKLAND, CA 94611
Alameda County (510) 769-2937

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 Rucker's NPI number?

The NPI number for Shannon Rucker is 1730386442. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Shannon Rucker located?

Shannon Rucker practices at 4000 Broadway Suite #3, Oakland, CA 94611. The listed phone number is (510) 725-7450.

What is Shannon Rucker's specialty?

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

Is Shannon Rucker enrolled in Medicare?

Yes. Shannon Rucker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Rucker was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.