SHANNON JAUREGUI HYDE MFT
NPI 1083484752
Marriage & Family Therapist in Imperial Beach, CA

Active since January 04, 2024PECOS Enrolled
874 8TH ST, IMPERIAL BEACH, CA 91932(619) 890-9627 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Jauregui Hyde Mft NPPES

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

SHANNON JAUREGUI HYDE MFT (NPI 1083484752) is an individual marriage & family therapist in Imperial Beach, California, licensed in California (87377) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083484752
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON JAUREGUI HYDECredential: MFT
Location Address874 8TH STImperial Beach, CA 91932-2114
Mailing Address874 8th StImperial Beach, CA 91932-2114 · (619) 890-9627
Sole ProprietorYes
Enumeration DateJanuary 4, 2024
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1083484752 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 · 87377
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.
874 8TH ST, Imperial Beach, CA 91932

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Jauregui Hyde Mft 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 Shannon Hyde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1000 EUCLID AVE
National City, CA 91950
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group

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

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 Shannon Hyde's NPI number?

The NPI number for Shannon Hyde is 1083484752. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Shannon Hyde located?

Shannon Hyde practices at 874 8th St, Imperial Beach, CA 91932. The listed phone number is (619) 890-9627.

What is Shannon Hyde's specialty?

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

Is Shannon Hyde enrolled in Medicare?

Yes. Shannon Hyde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Hyde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Hyde reassigns Medicare benefits to Family Health Centers Of San Diego, Inc. (National City, 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 Shannon Hyde'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 Shannon Hyde was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.