Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Shanahan

Individual provider Mental Health Counselor · NPI 1255943080

Marisa Shanahan is a Marriage and Family Therapist in Sebastopol, California. Qualified in 2022, 4 years ago. Practices with County of Lake, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2264 Green Hill Rd
Sebastopol, CA 95472-9034
Phone: (707) 823-3385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1255943080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice County Of Lake — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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