JODIE ELIZABETH SHEA LMFT
NPI 1053798868
Marriage & Family Therapist in Yorba Linda, CA

Active since April 30, 2015Opted out of Medicare · through Jan 1, 2028
25645 CROSS CREEK DR UNIT A, YORBA LINDA, CA 92887(661) 772-9784 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 23, 2021, Mar 31, 2020, Apr 27, 2018 (3 updates tracked since 2018).

About Jodie Elizabeth Shea Lmft NPPES

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

JODIE ELIZABETH SHEA LMFT (NPI 1053798868) is an individual marriage & family therapist in Yorba Linda, California, licensed in California (113965) and active in the NPI registry since April 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1053798868
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJODIE ELIZABETH SHEACredential: LMFT
Location Address25645 CROSS CREEK DR UNIT AYorba Linda, CA 92887-6283
Mailing Address25645 Cross Creek Dr Unit AYorba Linda, CA 92887-6283 · (661) 772-9784
Sole ProprietorYes
Enumeration DateApril 30, 2015
Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
NPI 1053798868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 113965
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.
Also ListedCounselorTaxonomy 101Y00000X
25645 CROSS CREEK DR UNIT A, Yorba Linda, CA 92887

Other Names 1

Former Name (1)Jodie Elizabeth Lam

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jodie Elizabeth Shea 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodie Shea's NPI number?

The NPI number for Jodie Shea is 1053798868. It was assigned to this individual provider in the NPPES registry on April 30, 2015. The provider is also known as Jodie Elizabeth Lam.

Where is Jodie Shea located?

Jodie Shea practices at 25645 Cross Creek Dr Unit A, Yorba Linda, CA 92887. The listed phone number is (661) 772-9784.

What is Jodie Shea's specialty?

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

Is Jodie Shea enrolled in Medicare?

No. Jodie Shea has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jodie Shea was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.