MR. SHANTAY MINES ED.S, LMFT
NPI 1083051544
Marriage & Family Therapist in San Jose, CA

Q: What is Shantay Mines's NPI number?

The NPI number for Shantay Mines is 1083051544. It was assigned to this individual provider in the NPPES registry on May 23, 2013. The provider is also known as Mr. Shawn Mines Ma, Ed.S, Lmft.

Q: What is Shantay Mines's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shantay Mines was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 23, 2013

160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112(408) 287-6200 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Shantay Mines Ed.s, Lmft NPPES

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

MR. SHANTAY MINES ED.S, LMFT (NPI 1083051544) is an individual marriage & family therapist in San Jose, California, licensed in North Carolina (LMFTA #9001A) and active in the NPI registry since May 2013. He maintains a secondary practice location in New Port Richey.

NPPES Registry Identity

NPI1083051544

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. SHANTAY MINESCredential: ED.S, LMFT

Location Address160 E VIRGINIA ST STE 100San Jose, CA 95112-5865

Mailing Address680 Epic Way Apt 123San Jose, CA 95134-2836 · (862) 204-9364

Phone(408) 287-6200

Sole ProprietorYes

Enumeration DateMay 23, 2013

Last NPPES UpdateAugust 24, 2021

NPPES CertifiedAugust 24, 2021

✔ NPI 1083051544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in NC · LMFTA #9001A✔ Licensed in FL · IMT2104✔ Licensed in CA · 124011

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.

160 E VIRGINIA ST STE 100, San Jose, CA 95112

Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Shawn Mines Ma, Ed.s, Lmft

Secondary Practice Location 1

Location 15139 Deer Park DriveNew Port Richey, FL 34653 · Phone (813) 999-5928

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.

KATE LOUISE RUSSELL-BOGAN

Student in an Organized Health Care Education/Training Program