Individual provider Active NPI

Shanae Kathryn Lee, LPCC

  • Professional Counselor
  • Temecula, CA
National Provider Identifier
1356008379
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17542 Issued in CA
Practice address
32605 Temecula Pkwy Ste 217
Temecula, CA 92592-6839
Phone
(951) 615-8706
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17542 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy Ste 217
Temecula, CA 92592-6839

Mailing address

27412 Enterprise Cir W Ste 205
Temecula, CA 92590-4875
Phone (951) 972-6262

Other practice location 1

27412 Enterprise Cir W
Temecula, CA 92590-4803
Phone (951) 972-6262

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
I20241105002545 CA Practitioner - Mental Health Counselor 7113451741 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17542CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Professional CurrentSince Jul 22, 2025 Accepting new patients
Tiffani Taft Marriage Family Therapy Professional Corporation CurrentSince Oct 29, 2024 Accepting new patients
Sud Specialty Group - Ca CurrentSince May 1, 2025 Accepting new patients
Encouragers Counseling and Training Centers, Inc PastSince Nov 1, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

27640 Encanto Dr
Ste B
Sun City, CA 92586
Phone (951) 672-7673

27412 Enterprise Cir W
Ste 200205
Temecula, CA 92590
Phone (951) 971-6262

27412 Enterprise Cir W
Ste 205
Temecula, CA 92590
Phone (951) 387-8039

27412 Enterprise Cir W
Temecula, CA 92590
Phone (951) 694-6367

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1356008379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904875",
            "telephone_number": "951-972-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 217",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "951-615-8706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27412 Enterprise Cir W",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904803",
            "country_code": "US",
            "telephone_number": "951-972-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHANAE",
        "middle_name": "KATHRYN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "17542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.