SHANNON ERIKA MARIE BODE (NPI# 1073703179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073703179 |
| Entity Type | Individual |
| Full Name | SHANNON ERIKA MARIE BODE |
| Credential | B.A. |
| Practice Address |
4175 Lakeside Dr Richmond CA 94806-5774 |
| Mailing Address |
2039 8th Ave Apt 5 Oakland CA 94606-2500 |
| Practice Telephone | 5102626551 |
| Mailing Telephone | 5106938240 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT77737 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4175 LAKESIDE DR |
| City | RICHMOND |
| State | CA |
| Zip Code | 94806-5774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528128394 | Renee M Lindquist | Social Worker | 4175 Lakeside Dr, Suite 110, Richmond, CA 94806-5774 | 2006-12-11 |
| 1508311168 | Lamar Morgan | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2016-08-23 |
| 1457805004 | Julianna Di Miceli | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2016-08-12 |
| 1114370541 | Charles Todaro | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr, Y Team #110, Richmond, CA 94806-5774 | 2016-07-21 |
| 1457704777 | Corlette Vanessa Williams | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2016-07-21 |
| 1528418159 | Maia Weiss | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2016-06-14 |
| 1568810489 | Nicole Axel Storrow | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2016-06-01 |
| 1336593748 | Jordan Karr | Counselor | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2016-04-21 |
| 1780043562 | Selina Breshers | Counselor | 4175 Lakeside Dr, Suite Number 110, Richmond, CA 94806-5774 | 2016-02-22 |
| 1083099956 | Tracy Ward | Counselor | 4175 Lakeside Dr, 110, Richmond, CA 94806-5774 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120863 | Hugo Gonzales Therapy, Inc | Marriage & Family Therapist | 3150 Hilltop Mall Rd Ste 4, Richmond, CA 94806-1921 | 2020-06-26 |
| 1831734722 | Sudie Summers Althisar | Marriage & Family Therapist | 2000 Bremo Rd Ste 105, Richmond, VA 23226-2440 | 2019-11-14 |
| 1841841574 | Natalya Kuzmicheva | Marriage & Family Therapist | 2559 Groveview Dr, Richmond, CA 94806-5701 | 2019-09-24 |
| 1902308695 | Sheena R Horsford | Marriage & Family Therapist | 5516 Falmouth St Ste 201, Richmond, VA 23230-1819 | 2018-03-08 |
| 1659873818 | Yvette Coronado Mercer | Marriage & Family Therapist | 3700 Garden Rd, Richmond, VA 23235-1234 | 2018-03-05 |
| 1215311659 | Isaac Meadow | Marriage & Family Therapist | 6285 Bernhard Ave, Richmond, CA 94805-1633 | 2015-07-15 |
| 1164810487 | Geraldine Wilson | Marriage & Family Therapist | 4709 Macdonald Ave, Richmond, CA 94805-2308 | 2015-01-08 |
| 1568865855 | Shardae Washington | Marriage & Family Therapist | 211 N 18th St, Richmond, VA 23223-6905 | 2014-10-01 |
| 1194138230 | Mark Fischer | Marriage & Family Therapist | 627 Lenox Rd, Richmond, MA 01254-5260 | 2014-06-06 |
| 1801207444 | Tiana Beard | Marriage & Family Therapist | 3150 Hilltop Mall Rd Ste 12, Richmond, CA 94806-1921 | 2014-05-16 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.