{
"Npi": {
"NPI": "1386503431",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "SHANNON L. AMABILE MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL CORPORATION",
"ParentOrgTIN": null,
"OrgName": "SHANNON L. AMABILE MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3206 DARNELL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AUSTIN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78745-7465",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-207-5988",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7550 ZOMBAR AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VAN NUYS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91406-3352",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-207-5988",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/15/2026",
"LastUpdateDate": "01/15/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMABILE",
"AuthorizedOfficialFirstName": "SHANNON",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PSYCHOTHERAPIST/ PRACTICE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "848-448-1359",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}