Jodie Elizabeth Shea, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113965 Issued in CA

Practice address

25645 Cross Creek Dr Unit a
Yorba Linda, CA 92887-6283

Phone

(661) 772-9784

NPI assigned

Apr 30, 2015

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jodie Elizabeth Lam Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1053798868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25645 CROSS CREEK DR UNIT A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876283",
            "telephone_number": "661-772-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25645 CROSS CREEK DR UNIT A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876283",
            "telephone_number": "661-772-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JODIE",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@pillowtalktherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "address_1": "25645 Cross Creek Dr Unit A",
            "city": "Yorba Linda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928876283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "LAM",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Kopp Shambaris, APCC
• Shannon Oh Jamison, DDS Inc.
• Kauser V Sharieff, O.D. FCOVD
• Arianne Devi Sharma, DO
• Shawn Yu, DMD, Apc
• William Sheehan, PT, DPT
• Charity Shelton
• Jason Shen, MD
• Ashley Shibuya, PHARMD
• John Hyo Keun Shin, MD

• Marriage & Family Therapist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.