Active NPI
Kathleen Erin Shearman, LIMHP, LPCC
- Mental Health Counselor
- Imperial Beach, CA
National Provider Identifier
1770016933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11072
- Practice address
- 155 Elm Ave
Imperial Beach, CA 91932-1860 - Phone
- (402) 658-5809
- NPI assigned
- Apr 5, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11072 | NE | Primary |
Addresses
Primary practice location
155 Elm Ave
Imperial Beach, CA 91932-1860
Mailing address
155 Elm Ave
Imperial Beach, CA 91932-1860
Phone (402) 990-9912
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
138 B Ave
Coronado, CA 92118-1511
Phone (402) 990-9912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11072 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic Healing LLC | Mental Health | Current | Accepting new patients |
Locations
138 B Ave
San Diego, CA 92118
Phone (619) 437-6209
Organizations & group practices 1
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": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1770016933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 ELM AVE",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919321860",
"telephone_number": "402-990-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 ELM AVE",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919321860",
"telephone_number": "402-658-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARMAN",
"first_name": "KATHLEEN",
"middle_name": "ERIN",
"credential": "LIMHP, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "11072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Imperial Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.