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MS. SAMANTHA HOLBROOK SHIELDS LMFT
NPI 1245405091
Marriage & Family Therapist in San Marcos, CA

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
300 RANCHEROS DR STE 130, SAN MARCOS, CA 92069(858) 279-1223 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Feb 2, 2017, Oct 13, 2016 (3 updates tracked since 2016).

About Ms. Samantha Holbrook Shields Lmft NPPES

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

MS. SAMANTHA HOLBROOK SHIELDS LMFT (NPI 1245405091) is an individual marriage & family therapist in San Marcos, California, licensed in California (92966) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245405091
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. SAMANTHA HOLBROOK SHIELDSCredential: LMFT
Location Address300 RANCHEROS DR STE 130San Marcos, CA 92069-2968
Mailing Address300 Rancheros Dr Ste 130San Marcos, CA 92069-2968
Phone(858) 279-1223
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 23, 2008
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1245405091 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 · 92966
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.
300 RANCHEROS DR STE 130, San Marcos, CA 92069
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Other Names 1

Former Name (1)Ms. Mandy Holrook Macon Mft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Samantha Holbrook Shields Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557800661
PECOS Enrollment IDI20240903001733
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.

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.

BEATRIZ LOURDES MARFORI MD
Psychiatry & Neurology (Psychiatry)
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
ERIC MICHAEL DAVID LMFT
Marriage & Family Therapist
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
DR. JENNIFER MICHELLE BLUM LCSW
Social Worker (Clinical)
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
DR. JOSEFA BADAR LICAS M.D.
Psychiatry & Neurology (Psychiatry)
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
NATHAN SAMUEL HARRIS LMFT
Marriage & Family Therapist
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
CONNOR ANTHONY BERK LMFT
Marriage & Family Therapist
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
JANELL SUSAN MAKAIPO LMFT
Marriage & Family Therapist
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223
DR. EMILIA RAMIREZ PSYD
Psychologist (Clinical)
300 RANCHEROS DR STE 130
SAN MARCOS, CA 92069
San Diego County (858) 279-1223

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 Samantha Shields's NPI number?

The NPI number for Samantha Shields is 1245405091. It was assigned to this individual provider in the NPPES registry on April 23, 2008. The provider is also known as Ms. Mandy Holrook Macon Mft.

Where is Samantha Shields located?

Samantha Shields practices at 300 Rancheros Dr Ste 130, San Marcos, CA 92069. The listed phone number is (858) 279-1223.

What is Samantha Shields's specialty?

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

Is Samantha Shields enrolled in Medicare?

Yes. Samantha Shields is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Shields was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.