MS. MADELINE MISCHO SHELBY LMFT
NPI 1013046473
Marriage & Family Therapist in Berkeley, CA

Q: What is Madeline Shelby's NPI number?

The NPI number for Madeline Shelby is 1013046473. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Q: What is Madeline Shelby's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Madeline Shelby enrolled in Medicare?

No. Madeline Shelby has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Madeline Shelby was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 03, 2007Opted out of Medicare · through Feb 12, 2028

2925 SHATTUCK AVE, BERKELEY, CA 94705(510) 568-6221(510) 568-6221 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Madeline Mischo Shelby Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MADELINE MISCHO SHELBY LMFT (NPI 1013046473) is an individual marriage & family therapist in Berkeley, California, licensed in California (MFT 23085) and active in the NPI registry since March 2007. She has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1013046473

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. MADELINE MISCHO SHELBYCredential: LMFT

Location Address2925 SHATTUCK AVEBerkeley, CA 94705-1808

Mailing Address2925 Shattuck AveBerkeley, CA 94705-1808 · (510) 568-6221 · Fax (510) 568-6221

Phone(510) 568-6221

Fax(510) 568-6221

Sole ProprietorYes

Enumeration DateMarch 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013046473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFT 23085

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2925 SHATTUCK AVE, Berkeley, CA 94705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ms. Madeline Mischo Shelby Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024

Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GREGORY PAUL HENRICKS M.S., M.F.T.

Marriage & Family Therapist