CYNTHIA POPELKA SHEPARD LMFT
NPI 1396951778
Marriage & Family Therapist in San Pedro, CA

Active since May 15, 2007Opted out of Medicare · through Feb 6, 2028
2403 S MORAY AVE STE 3, SAN PEDRO, CA 90732(310) 547-1485 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cynthia Popelka Shepard Lmft NPPES

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

CYNTHIA POPELKA SHEPARD LMFT (NPI 1396951778) is an individual marriage & family therapist in San Pedro, California, licensed in California (LMFT24609) and active in the NPI registry since May 2007. She has opted out of Medicare through February 6, 2028.

NPPES Registry Identity

NPI1396951778
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCYNTHIA POPELKA SHEPARDCredential: LMFT
Location Address2403 S MORAY AVE STE 3San Pedro, CA 90732-4323
Mailing Address1621 W 25th St # 152San Pedro, CA 90732-4301 · (310) 547-1485
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateDecember 29, 2024
NPPES CertifiedDecember 29, 2024
NPI 1396951778 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 · LMFT24609
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.
2403 S MORAY AVE STE 3, San Pedro, CA 90732

Other Identifiers 1

Other24609CA · Mft License #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Cynthia Popelka Shepard 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 February 6, 2024 through February 6, 2028.

Opt-Out Effective DateFebruary 6, 2024
Opt-Out In Effect ThroughFebruary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Cynthia Shepard's NPI number?

The NPI number for Cynthia Shepard is 1396951778. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Cynthia Shepard located?

Cynthia Shepard practices at 2403 S Moray Ave Ste 3, San Pedro, CA 90732. The listed phone number is (310) 547-1485.

What is Cynthia Shepard's specialty?

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

Is Cynthia Shepard enrolled in Medicare?

No. Cynthia Shepard has opted out of Medicare through February 6, 2028. 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 Cynthia Shepard was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.