Kathryn Marie Shafer, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

114178 Issued in CA

Practice address

10201 Mission Gorge Rd Ste O
Santee, CA 92071-3040

Phone

(619) 385-2719

NPI assigned

Sep 10, 2015

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1760431670
  Medicare reassignment NPD
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1720745169
  NPD
• Mental Health Systems, Inc.

  dba Alianza Wellness Center

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1740846542
  NPD

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1063880722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD STE O",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713040",
            "telephone_number": "619-383-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD STE O",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713040",
            "telephone_number": "619-385-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Sober Living LLC
• Ruel Seguin
• Hailey Seibel
• Select Cal Physical Therapy PC
• Select San Diego Physical Therapy, PC. (Select Physical Therapy)
• Sharp Healthcare (Sharp Rees Stealy Clinical Laboratory - Santee)
• Sharp Healthcare (Sharp Rees-Stealy Pharmacy #8)
• Sharp Rees-Stealy Medical Group Inc
• Kimberly Shathia, LPCC
• Abdisalam Shuriye Sheikh Mohamed

• Marriage & Family Therapist in Santee, CA
• Providers in Santee, 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 Jun 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.