Individual provider Active NPI

Shae Burrow

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1124607171
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
161994 Issued in CA
Practice address
2124 S El Camino Real Ste 101
Oceanside, CA 92054-6211
Phone
(888) 688-0248
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 161994 CA Primary

Addresses

Primary practice location

2124 S El Camino Real Ste 101
Oceanside, CA 92054-6211

Mailing address

2124 S El Camino Real Ste 101
Oceanside, CA 92054-6211

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
I20260325001995 CA Practitioner - Marriage and Family Therapist 6608350848 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
Group practices

Practice addresses (Care Compare)

2271 Alpine Blvd
Suite a
Alpine, CA 91901-1101
Phone (619) 448-1216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161994CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stone of San Diego, Inc. PastSince Apr 1, 2021 Accepting new patients
Fusion Care Group, a Psychological Professional Corporation PastSince Apr 23, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1124607171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 S EL CAMINO REAL STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 S EL CAMINO REAL STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546211",
            "telephone_number": "888-688-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROW",
        "first_name": "SHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "161994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.