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KATHRYN MARIE SHAFER LMFT
NPI 1063880722
Marriage & Family Therapist in Santee, CA

Active since September 10, 2015PECOS Enrolled
10201 MISSION GORGE RD STE O, SANTEE, CA 92071(619) 385-2719 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2023, Oct 15, 2019 (2 updates tracked since 2019).

About Kathryn Marie Shafer Lmft NPPES

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

KATHRYN MARIE SHAFER LMFT (NPI 1063880722) is an individual marriage & family therapist in Santee, California, licensed in California (114178) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063880722
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHRYN MARIE SHAFERCredential: LMFT
Location Address10201 MISSION GORGE RD STE OSantee, CA 92071-3040
Mailing Address10201 Mission Gorge Rd Ste OSantee, CA 92071-3040 · (619) 383-6868
Phone(619) 385-2719
Sole ProprietorNo
Enumeration DateSeptember 10, 2015
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1063880722 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 · 114178
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.
10201 MISSION GORGE RD STE O, Santee, CA 92071
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Marie Shafer Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Systems, Inc.
0.5 mi
Community/Behavioral Health
8760 CUYAMACA ST STE 100
Santee, CA 92071
  • Reassigned Medicare billing, California enrollment
  • 74 clinicians in this Medicare group
NPI 1649711490 (619) 383-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

RANDEE MCLAIN LCSW
Social Worker (Clinical)
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 383-6868
JEFFREY GERALD HARRINGTON
Counselor (Addiction (Substance Use Disorder))
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 383-6868
JESSICA LEE FALCONE TORRES
Day Training/Habilitation Specialist
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 383-6868
ERIKA TORRES ZIMMER LVN
Licensed Vocational Nurse
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 383-6868
SARAH MILAN
Community Health Worker
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 703-6861
KAITLIN NICHOLE PERRONE
Counselor (Professional)
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 383-6868
SHELBI RAYLENE CALLAHAN ASW
Counselor (Mental Health)
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (619) 383-6868
MS. PAMELA BETH BERKINSKY
Counselor (Mental Health)
10201 MISSION GORGE RD STE O
SANTEE, CA 92071
San Diego County (201) 606-5156

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 Kathryn Shafer's NPI number?

The NPI number for Kathryn Shafer is 1063880722. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Kathryn Shafer located?

Kathryn Shafer practices at 10201 Mission Gorge Rd Ste O, Santee, CA 92071. The listed phone number is (619) 385-2719.

What is Kathryn Shafer's specialty?

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

Is Kathryn Shafer enrolled in Medicare?

Yes. Kathryn Shafer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Shafer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Shafer reassigns Medicare benefits to Mental Health Systems, Inc. (Santee, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Shafer was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.