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SARA SHINE
NPI 1144429028
Counselor - Mental Health in Jamaica Plain, MA

Active since July 12, 2007PECOS Enrolled
1125 CENTRE ST, ST ITALIAN HOME, JAMAICA PLAIN, MA 02130(617) 787-1901(617) 254-3461 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara Shine NPPES

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

SARA SHINE (NPI 1144429028) is an individual mental health provider in Jamaica Plain, Massachusetts and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1144429028
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA SHINE
Location Address1125 CENTRE ST, ST ITALIAN HOMEJamaica Plain, MA 02130-3445
Mailing Address77b Warren St, BamhaBrighton, MA 02135 · (617) 787-1901 · Fax (617) 254-3461
Phone(617) 787-1901
Fax(617) 254-3461
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 12, 2007
✔ NPI 1144429028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1125 CENTRE ST, Jamaica Plain, MA 02130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Shine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244512812
PECOS Enrollment IDI20250813002348
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 Sara Shine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quincy Asian Resources Inc
7.5 mi
Mental Health
1509 HANCOCK ST STE 209
Quincy, MA 02169
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1144923160 (617) 472-2200

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.

MS. KATE GOLDBERG
Behavior Technician
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 447-5807
DR. LAMEI WANG
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-3116
EMAN SAADEDDIN
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-3116
RHEANNE FARRINGTON
Counselor
1125 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 823-5726
AMANDA WHITE LMHC10001253
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (339) 777-2294
JAMIE DIANE HARSIP
Social Worker
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-3116
ITALIAN HOME FOR CHILDREN INC
Community Based Residential Treatment Facility, Mental Illness
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-3116
LISA A CESSO
Counselor (Mental Health)
1125 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-3116

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 Sara Shine's NPI number?

The NPI number for Sara Shine is 1144429028. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Sara Shine located?

Sara Shine practices at 1125 Centre St St Italian Home, Jamaica Plain, MA 02130. The listed phone number is (617) 787-1901.

What is Sara Shine's specialty?

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

Is Sara Shine enrolled in Medicare?

Yes. Sara Shine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Shine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Shine reassigns Medicare benefits to Quincy Asian Resources Inc (Quincy, MA). 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 Sara Shine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Shine accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sara Shine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Shine was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.