YUKI SHIDA LMFT
NPI 1346817004
Counselor - Mental Health in Peachtree Corners, GA

Active since June 09, 2021Opted out of Medicare · through Oct 3, 2026
5425 PEACHTREE PKWY, PEACHTREE CORNERS, GA 30092(855) 850-0274 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Yuki Shida Lmft NPPES

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

YUKI SHIDA LMFT (NPI 1346817004) is an individual mental health provider in Peachtree Corners, Georgia and active in the NPI registry since June 2021. She has opted out of Medicare through October 3, 2026 and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1346817004
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameYUKI SHIDACredential: LMFT
Location Address5425 PEACHTREE PKWYPeachtree Corners, GA 30092-6536
Mailing Address205 S Prospect StOrange, CA 92869-3843
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1346817004 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
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 104625 (CA)
5425 PEACHTREE PKWY, Peachtree Corners, GA 30092

Secondary Practice Location 1

Location 11633 E 4th St Ste 150Santa Ana, CA 92701-5170 · Phone (714) 388-6119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Yuki Shida 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 October 3, 2024 through October 3, 2026.

Opt-Out Effective DateOctober 3, 2024
Opt-Out In Effect ThroughOctober 3, 2026Opt-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.

Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092
Surgery
5425 PEACHTREE PKWY
NORCROSS, GA 30092

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 Yuki Shida's NPI number?

The NPI number for Yuki Shida is 1346817004. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Yuki Shida located?

Yuki Shida practices at 5425 Peachtree Pkwy, Peachtree Corners, GA 30092. The listed phone number is (855) 850-0274.

What is Yuki Shida's specialty?

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

Is Yuki Shida enrolled in Medicare?

No. Yuki Shida has opted out of Medicare through October 3, 2026. 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 Yuki Shida was last updated on May 16, 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.