Shannon Jauregui Hyde, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87377 Issued in CA

Practice address

874 8TH St
Imperial Beach, CA 91932-2114

Phone

(619) 890-9627

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

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 and National Provider Directory roles.

• Family Health Centers of San Diego, Inc.

  • Federally Qualified Health Center (FQHC)
  • National City, CA
  • NPI 1417409228
  Medicare reassignment NPD
• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1083484752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 8TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322114",
            "telephone_number": "619-890-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 8TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322114",
            "telephone_number": "619-890-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "SHANNON",
        "middle_name": "JAUREGUI",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helfon Hanono, O. D.
• Dianna Christine Hansen, LMFT, LAADC
• Danielle Brooke Harvey, ASW
• Ruel Hebron
• Alfred Zimbalist Hill, MPSS, SUDCC
• Naureen Imam
• Imperial Beach Community Clinic
• Imperial Beach Community Clinic
• Imperial Beach Fire Department
• Imperial Beach Optometry

• Marriage & Family Therapist in Imperial Beach, CA
• Providers in Imperial Beach, 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 25, 2025; 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.