SHANNEN LEIGH FRALEY MFT
NPI 1932673829
Marriage & Family Therapist in Santa Rosa, CA
About Shannen Leigh Fraley Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNEN LEIGH FRALEY MFT (NPI 1932673829) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (LMFT47636) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannen Leigh Fraley Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannen Fraley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95401
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 Shannen Fraley's NPI number?
The NPI number for Shannen Fraley is 1932673829. It was assigned to this individual provider in the NPPES registry on January 14, 2019.
Where is Shannen Fraley located?
Shannen Fraley practices at 509 7th St, Santa Rosa, CA 95401. The listed phone number is (707) 568-1101.
What is Shannen Fraley's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Shannen Fraley enrolled in Medicare?
Yes. Shannen Fraley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannen Fraley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannen Fraley reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannen Fraley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannen Fraley 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.
# Shannen Leigh Fraley, MFT · NPI 1932673829
Marriage & Family Therapist provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since January 14, 2019.
## Identity
- **NPI:** 1932673829 (Entity type: Individual)
- **Enumerated:** January 14, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT47636 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 509 7TH ST, Santa Rosa, CA 95401-5265
- **Phone:** (707) 568-1101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1932673829) · Data from the CMS NPPES public registry.