Organization Active NPI

Shine a Light Family Therapy, Inc.

  • Mental Health Counselor
  • Watsonville, CA
National Provider Identifier
1801755772
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHINE A LIGHT FAMILY THERAPY, INC.
Practice address
70 Penny LN Ste D
Watsonville, CA 95076-6020
Phone
(831) 222-0111
Fax
(831) 417-0443
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Timothy Vincent Hartnett, LMFTNPI 1124006408
Title
President
Phone
(831) 222-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

70 Penny LN Ste D
Watsonville, CA 95076-6020

Mailing address

70 Penny LN Ste D
Watsonville, CA 95076-6020
Phone (831) 222-0111

National Provider Directory

National Provider Directory

Locations

70 Penny Ln
Ste D
Watsonville, CA 95076
Phone (831) 222-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1801755772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PENNY LN STE D",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766020",
            "telephone_number": "831-222-0111",
            "fax_number": "831-417-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PENNY LN STE D",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766020",
            "telephone_number": "831-222-0111",
            "fax_number": "831-417-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE A LIGHT FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "HARTNETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-222-0111",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.