MS. KIMBERLY LORNA SHIN CADC, ATR-BC, LPCC,
NPI 1366730806
Counselor - Mental Health in Vacaville, CA

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
831 ALAMO DR STE 5C, VACAVILLE, CA 95688(707) 624-9767 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Lorna Shin Cadc, Atr-bc, Lpcc, NPPES

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

MS. KIMBERLY LORNA SHIN CADC, ATR-BC, LPCC, (NPI 1366730806) is an individual mental health provider in Vacaville, California, licensed in California (LPCC5691) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1366730806
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KIMBERLY LORNA SHINCredential: CADC, ATR-BC, LPCC,
Location Address831 ALAMO DR STE 5CVacaville, CA 95688-5343
Mailing Address3468 Norwalk PlFairfield, CA 94534-2965 · (707) 294-5545
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 19, 2011
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1366730806 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
License Licensed in CA · LPCC5691
831 ALAMO DR STE 5C, Vacaville, CA 95688

Secondary Practice Locations 2

Location 13468 Norwalk PlFairfield, CA 94534-2965 · Phone (707) 294-5545
Location 21286 Callen StVacaville, CA 95688-3002 · Phone (707) 447-8982

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly Lorna Shin Cadc, Atr-bc, Lpcc, 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.

PECOS PAC ID8325513427
PECOS Enrollment IDI20260407000677
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 Shin's NPI number?

The NPI number for Kimberly Shin is 1366730806. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Kimberly Shin located?

Kimberly Shin practices at 831 Alamo Dr Ste 5C, Vacaville, CA 95688. The listed phone number is (707) 624-9767.

What is Kimberly Shin's specialty?

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

Is Kimberly Shin enrolled in Medicare?

Yes. Kimberly Shin 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.

What insurance does Kimberly Shin accept?

Health plans from Providence Health Plan list Kimberly Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Shin was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.