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KIMBERLY SHATHIA LPCC
NPI 1356206254
Counselor - Professional in Santee, CA

Active since December 22, 2025PECOS Enrolled
PO BOX 710401, SANTEE, CA 92072(619) 933-5881 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Shathia Lpcc NPPES

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

KIMBERLY SHATHIA LPCC (NPI 1356206254) is an individual professional provider in Santee, California, licensed in California (LPCC18897) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356206254
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY SHATHIACredential: LPCC
Location AddressPO BOX 710401Santee, CA 92072-0401
Mailing AddressPo Box 710401Santee, CA 92072-0401
Phone(619) 933-5881
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1356206254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC18897
PO BOX 710401, Santee, CA 92072
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Shathia Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092293944
PECOS Enrollment IDI20260202000557
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.

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 Kimberly Shathia's NPI number?

The NPI number for Kimberly Shathia is 1356206254. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Kimberly Shathia located?

Kimberly Shathia practices at PO Box 710401, Santee, CA 92072. The listed phone number is (619) 933-5881.

What is Kimberly Shathia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberly Shathia enrolled in Medicare?

Yes. Kimberly Shathia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Shathia was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.