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SHINE THERAPY AND COACHING LLC
NPI 1548028038
Social Worker - Clinical in Natick, MA

Active since March 08, 2024
209 W CENTRAL ST STE 202, NATICK, MA 01760(617) 784-4619(617) 784-4619 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2025, Mar 8, 2024 (2 updates tracked since 2024).

About Shine Therapy And Coaching Llc NPPES

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

SHINE THERAPY AND COACHING LLC (NPI 1548028038), doing business as Shine Therapy, is a healthcare organization registered as a clinical in Natick, Massachusetts and active in the NPI registry since March 2024. The organization lists Keavy Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1548028038
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHINE THERAPY AND COACHING LLC
Location Address209 W CENTRAL ST STE 202Natick, MA 01760-3716
Mailing Address209 W Central St Ste 202Natick, MA 01760-3716 · (617) 784-4619 · Fax (617) 784-4619
Phone(617) 784-4619
Fax(617) 784-4619
Organization SubpartNo
Authorized OfficialKeavy SmithOwner · (617) 784-4619
Enumeration DateMarch 8, 2024
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1548028038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
209 W CENTRAL ST STE 202, Natick, MA 01760
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Other Names 1

Former Legal Business NameShine Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Therapy And Coaching Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shine Therapy And Coaching LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mercedes Jackman, LCSW
Clinical Social Worker
NPI 1396485389
209 W CENTRAL ST STE 202
Natick, MA 01760
(617) 844-4619
✔ PECOS✔ Accepts MedicareSame address
Keavy Smith, LCSW
Clinical Social Worker
NPI 1013074541
209 W CENTRAL ST STE 202
Natick, MA 01760
(617) 784-4619
✔ PECOS✔ Accepts MedicareSame address

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 Shine Therapy And Coaching LLC's NPI number?

The NPI number for Shine Therapy And Coaching LLC is 1548028038. It was assigned to this organization in the NPPES registry on March 8, 2024. The provider was formerly known as Shine Therapy.

Where is Shine Therapy And Coaching LLC located?

Shine Therapy And Coaching LLC is located at 209 W Central St Ste 202, Natick, MA 01760. The listed phone number is (617) 784-4619.

What is Shine Therapy And Coaching LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shine Therapy And Coaching LLC enrolled in Medicare?

Yes. Shine Therapy And Coaching LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Therapy And Coaching LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Shine Therapy And Coaching LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shine Therapy And Coaching LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Shine Therapy And Coaching LLC 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 Shine Therapy And Coaching LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.