Individual provider Active NPI

Katherine Kopp Shambaris, APCC

  • Mental Health Counselor
  • Yorba Linda, CA
National Provider Identifier
1316740574
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC18806 Issued in CA
Practice address
6466 New Gate Way
Yorba Linda, CA 92886-6814
Phone
(714) 312-9558
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC18806 CA Primary

Addresses

Primary practice location

6466 New Gate Way
Yorba Linda, CA 92886-6814

Mailing address

6466 New Gate Way
Yorba Linda, CA 92886-6814
Phone (714) 312-9558

Other practice location 1

14233 Lambert Rd
Whittier, CA 90605-2400
Phone (562) 383-9109

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

State licenses

LicenseStateTypeSpecialty
APCC18806CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1316740574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6466 NEW GATE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866814",
            "telephone_number": "714-312-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6466 NEW GATE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866814",
            "telephone_number": "714-312-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14233 Lambert Rd",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906052400",
            "country_code": "US",
            "telephone_number": "562-383-9109",
            "fax_number": "714-276-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMBARIS",
        "first_name": "KATHERINE",
        "middle_name": "KOPP",
        "name_prefix": "Mrs.",
        "credential": "APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC18806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.