Individual provider Active NPI

Susan Shrinkle, MS, MFT

  • Marriage & Family Therapist
  • Encinitas, CA
National Provider Identifier
1821435561
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86786 Issued in CA
Practice address
171 Saxony Rd Ste 104
Encinitas, CA 92024-6776
Phone
(760) 613-7073
Fax
(844) 594-2433
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 86786 CA Primary

Addresses

Primary practice location

171 Saxony Rd Ste 104
Encinitas, CA 92024-6776

Mailing address

1856 Wilstone Ave
Encinitas, CA 92024-1126
Phone (760) 613-7073

Other practice location 1

2910 Jefferson St
Suite 201
Carlsbad, CA 92008-2356
Phone (760) 659-3607

Other practice location 2

2122 S El Camino Real # 203
Oceanside, CA 92054
Phone (760) 613-7073

Other practice location 3

2122 S El Camino Real # 203
Oceanside, CA 92054
Phone (760) 613-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86786CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Therapy Collective, a Licensed Marriage & Family Therapy Co Marriage & Family Therapist CurrentSince Nov 3, 2019 Accepting new patients

Locations

171 Saxony Rd
Ste 104
Encinitas, CA 92024
Phone (760) 239-9297

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1821435561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 WILSTONE AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241126",
            "telephone_number": "760-613-7073",
            "fax_number": "844-594-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 104",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246776",
            "telephone_number": "760-613-7073",
            "fax_number": "844-594-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Jefferson St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082356",
            "country_code": "US",
            "telephone_number": "760-659-3607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 S El Camino Real # 203",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92054",
            "country_code": "US",
            "telephone_number": "760-613-7073",
            "fax_number": "844-594-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 S El Camino Real # 203",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92054",
            "country_code": "US",
            "telephone_number": "760-613-7073",
            "fax_number": "844-594-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRINKLE",
        "first_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "MS, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.