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SHAYNE ANN VITEMB LMFT
NPI 1104167832
Counselor - Mental Health in El Segundo, CA

Active since March 05, 2013Opted out of Medicare · through Jan 1, 2028
302 W GRAND AVE, SUITE 7, EL SEGUNDO, CA 90245(310) 227-0201(310) 726-1030 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shayne Ann Vitemb Lmft NPPES

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

SHAYNE ANN VITEMB LMFT (NPI 1104167832) is an individual mental health provider in El Segundo, California, licensed in California (MFC#51827) and active in the NPI registry since March 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1104167832
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAYNE ANN VITEMBCredential: LMFT
Location Address302 W GRAND AVE, SUITE 7El Segundo, CA 90245-3700
Mailing Address302 W Grand Ave, Suite 7El Segundo, CA 90245-3700 · (310) 227-0201 · Fax (310) 726-1030
Phone(310) 227-0201
Fax(310) 726-1030
Sole ProprietorYes
Enumeration DateMarch 5, 2013
✔ NPI 1104167832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFC#51827
Also ListedPsychoanalystTaxonomy 102L00000X · License MFC#51827 (CA)
302 W GRAND AVE, El Segundo, CA 90245
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shayne Ann Vitemb 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

Other Providers at the Same Location NPPES 5

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

DR. EILEEN JOYCE BELL O.D.
Optometrist
302 W GRAND AVE, STE 1
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-9595
EILEEN J. BELL
Optometrist
302 W GRAND AVE, SUITE #1
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-9595
MS. MICHELLE LYNN FRYBACK MFT
Marriage & Family Therapist
302 W GRAND AVE, STE #7
EL SEGUNDO, CA 90245
Los Angeles County (310) 784-7717
VANESSA CAIN
Marriage & Family Therapist
302 W GRAND AVE
EL SEGUNDO, CA 90245
Los Angeles County (424) 237-8288
ALISON M GREINER LCSW
Social Worker (Clinical)
302 W GRAND AVE, SUITE 7
EL SEGUNDO, CA 90245
Los Angeles County (310) 784-7080

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 Shayne Vitemb's NPI number?

The NPI number for Shayne Vitemb is 1104167832. It was assigned to this individual provider in the NPPES registry on March 5, 2013.

Where is Shayne Vitemb located?

Shayne Vitemb practices at 302 W Grand Ave Suite 7, El Segundo, CA 90245. The listed phone number is (310) 227-0201.

What is Shayne Vitemb's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shayne Vitemb enrolled in Medicare?

No. Shayne Vitemb 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 Shayne Vitemb was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.