MS. SAMANTHA HOLBROOK SHIELDS LMFT
NPI 1245405091
Marriage & Family Therapist in San Marcos, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 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.
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.
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
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.
Which organization bills Medicare for Samantha Shields's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shields reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Samantha Shields'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 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 2 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.
# Ms. Samantha Holbrook Shields, LMFT · NPI 1245405091
Marriage & Family Therapist provider in San Marcos, California. Individual provider, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1245405091 (Entity type: Individual)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 92966 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 RANCHEROS DR STE 130, San Marcos, CA 92069-2968
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245405091) · Data from the CMS NPPES public registry.