Kimberly Shathia, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC18897 Issued in CA

Practice address

PO Box 710401
Santee, CA 92072-0401

Phone

(619) 933-5881

NPI assigned

Dec 22, 2025

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1356206254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710401",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920720401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 710401",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920720401",
            "telephone_number": "619-933-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATHIA",
        "first_name": "KIMBERLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC18897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select San Diego Physical Therapy, PC. (Select Physical Therapy)
• Kathryn Marie Shafer, LMFT
• Sharp Healthcare (Sharp Rees Stealy Clinical Laboratory - Santee)
• Sharp Healthcare (Sharp Rees-Stealy Pharmacy #8)
• Sharp Rees-Stealy Medical Group Inc
• Abdisalam Shuriye Sheikh Mohamed
• Aaron Joseph Shirey Jr.
• Andrew Shorez
• Tong-an Shueh, PH.D.
• Gregory Siaumau, PMHNP

• Professional Counselor in Santee, CA
• Providers in Santee, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.