Individual provider Active NPI

Shane Alexander George, LICENSED MFT

  • Marriage & Family Therapist
  • Yuba City, CA
National Provider Identifier
1083305064
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
156975 Issued in CA
Practice address
1095 Stafford Way Ste G
Yuba City, CA 95991-3333
Phone
(530) 434-6318
NPI assigned
May 19, 2023
Last updated
Aug 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138787 CA
Marriage & Family Therapist 106H00000X 156975 CA Primary

Addresses

Primary practice location

1095 Stafford Way Ste G
Yuba City, CA 95991-3333

Mailing address

1095 Stafford Way Ste G
Yuba City, CA 95991-3333
Phone (530) 434-6318

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
I20251015002786 CA Practitioner - Marriage and Family Therapist 0345737177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Day Family Counseling Center, Inc.Group PAC ID 2062865348, 7 clinicians

Practice addresses (Care Compare)

1095 Stafford Way
Suite J
Yuba City, CA 95991-3333
Phone (530) 434-6318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Training Center Marriage & Family Therapist CurrentSince Aug 6, 2025 Accepting new patients
New Day Family Counseling Center, Inc. Marriage & Family Therapist CurrentSince Aug 6, 2025 Accepting new patients

Locations

126 Peabody Rd
Vacaville, CA 95687

1095 Stafford Way
Ste J
Yuba City, CA 95991
Phone (530) 434-7366

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1083305064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 STAFFORD WAY STE G",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913333",
            "telephone_number": "530-434-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 STAFFORD WAY STE G",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913333",
            "telephone_number": "530-434-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHANE",
        "middle_name": "ALEXANDER",
        "credential": "LICENSED MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138787",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "156975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.