KIMBERLY SHATHIA LPCC
NPI 1356206254
Counselor - Professional in Santee, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Shathia Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Shathia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
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.
Which organization bills Medicare for Kimberly Shathia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Shathia reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Kimberly Shathia'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 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 10 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.
# Kimberly Shathia, LPCC · NPI 1356206254
Professional provider in Santee, California. Individual provider, active in the CMS NPPES registry since December 22, 2025.
## Identity
- **NPI:** 1356206254 (Entity type: Individual)
- **Enumerated:** December 22, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC18897 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 710401, Santee, CA 92072-0401
- **Phone:** (619) 933-5881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356206254) · Data from the CMS NPPES public registry.