Organization Active NPI

Shine Campus Family Counseling Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Visalia, CA
National Provider Identifier
1124819313
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SHINE CAMPUS FAMILY COUNSELING INC
Practice address
525 N Hall St Ste B
Visalia, CA 93291-4639
Phone
(559) 657-6167
Fax
(559) 236-0410
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Griselda S Valencia, LMFTNPI 1063784106
Title
Owner
Phone
(559) 667-7387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

525 N Hall St Ste B
Visalia, CA 93291-4639

Mailing address

1125 S Sowell St
Visalia, CA 93277-2440
Phone (559) 667-7387

Other practice location 1

3530 W Mineral King Ave Ste E
Visalia, CA 93291-5600
Phone (559) 657-6167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250901000681 CA Part B Supplier - Clinic/Group Practice 0042711988 Receives reassigned benefits from 1 practitioner
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

3530 W Mineral King Ave
Ste E
Visalia, CA 93291
Phone (559) 372-9740

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1124819313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S SOWELL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772440",
            "telephone_number": "559-667-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N HALL ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914639",
            "telephone_number": "559-657-6167",
            "fax_number": "559-236-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 W Mineral King Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915600",
            "country_code": "US",
            "telephone_number": "559-657-6167",
            "fax_number": "559-236-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHINE CAMPUS FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-667-7387",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.