Individual provider Active NPI

Kinshiro Paul Shimochi, LMFT-A

  • Marriage & Family Therapist
  • Durham, NC
National Provider Identifier
1154232825
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
21296A Issued in NC
Practice address
5716 Fayetteville Rd Ste 203
Durham, NC 27713-9662
Phone
(984) 235-2545
Fax
(844) 253-4789
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 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 21296A NC Primary

Addresses

Primary practice location

5716 Fayetteville Rd Ste 203
Durham, NC 27713-9662

Mailing address

6604 Six Forks Rd Ste 101
Raleigh, NC 27615-6521
Phone (984) 235-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1154232825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 SIX FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156521",
            "telephone_number": "984-235-2545",
            "fax_number": "844-253-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 FAYETTEVILLE RD STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139662",
            "telephone_number": "984-235-2545",
            "fax_number": "844-253-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOCHI",
        "first_name": "KINSHIRO",
        "middle_name": "PAUL",
        "credential": "LMFT-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "21296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.