Active NPI
Marianne H Shine, LMFT, RDT
- Marriage & Family Therapist
- Mill Valley, CA
National Provider Identifier
1669824777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106048
- Practice address
- 45 Camino Alto Ste 204
Mill Valley, CA 94941-2935 - Phone
- (415) 849-1761
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 106048 | CA | Primary |
Addresses
Primary practice location
45 Camino Alto Ste 204
Mill Valley, CA 94941-2935
Mailing address
11 Hill St
Mill Valley, CA 94941-2006
Phone (415) 602-1635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 18, 2025 through Aug 18, 2027
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": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1669824777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HILL ST",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412006",
"telephone_number": "415-602-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CAMINO ALTO STE 204",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412935",
"telephone_number": "415-849-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINE",
"first_name": "MARIANNE",
"middle_name": "H",
"credential": "LMFT, RDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.