Individual provider Active NPI

Christine Anita Shelton, MFT 38626 CA

  • Mental Health Counselor
  • Grass Valley, CA
National Provider Identifier
1053506360
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT 38626 Issued in CA
Practice address
405 W Main St
Grass Valley, CA 95945-6403
Phone
(530) 272-0995
Fax
(530) 273-1299
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT 38626 CA Primary

Addresses

Primary practice location

405 W Main St
Grass Valley, CA 95945-6403

Mailing address

10378 Carey Dr
Grass Valley, CA 95945-4801
Phone (530) 272-0995

Other names 1

  • Christine Anita Shelton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515000951 CA Practitioner - Marriage and Family Therapist 5395186860 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 W Main St
Grass Valley, CA 95945-6403
Phone (530) 559-9625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT 38626CAMDMental Health Counselor
38626CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Ridge Union Elementary School District Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1053506360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10378 CAREY DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454801",
            "telephone_number": "530-272-0995",
            "fax_number": "530-273-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456403",
            "telephone_number": "530-272-0995",
            "fax_number": "530-273-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "CHRISTINE",
        "middle_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "MFT 38626 CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT 38626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SHELTON",
            "middle_name": "ANITA",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.