MS. IIHAE SHIN LMFT
NPI 1275995979
Marriage & Family Therapist in Panorama City, CA

Q: What is Iihae Shin's NPI number?

The NPI number for Iihae Shin is 1275995979. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Iihae Shin's specialty?

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

Q: Is Iihae Shin enrolled in Medicare?

No. Iihae Shin has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Iihae Shin was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 22, 2016Opted out of Medicare · through Jul 22, 2027

14850 ROSCOE BLVD, SUITE 304, PANORAMA CITY, CA 91402(626) 394-6040 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Iihae Shin Lmft NPPES

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

MS. IIHAE SHIN LMFT (NPI 1275995979) is an individual marriage & family therapist in Panorama City, California, licensed in California (MFC41346) and active in the NPI registry since March 2016. She has opted out of Medicare through July 22, 2027.

NPPES Registry Identity

NPI1275995979

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. IIHAE SHINCredential: LMFT

Location Address14850 ROSCOE BLVD, SUITE 304Panorama City, CA 91402-4618

Mailing Address39 N Greenwood AvePasadena, CA 91107-3515 · (626) 394-6040

Phone(626) 394-6040

Sole ProprietorYes

Enumeration DateMarch 22, 2016

✔ NPI 1275995979 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 · MFC41346

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.

14850 ROSCOE BLVD, Panorama City, CA 91402

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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

Ms. Iihae Shin 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 July 22, 2025 through July 22, 2027.

Opt-Out Effective DateJuly 22, 2025

Opt-Out In Effect ThroughJuly 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

YOHANNES HAILE MD

Student in an Organized Health Care Education/Training Program