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KRISTINA J SHIPPEY
NPI 1649476326
Marriage & Family Therapist in San Luis Obispo, CA

Active since June 21, 2007Opted out of Medicare · through Aug 26, 2026
1411 MARSH STREET, SUITE 206, SAN LUIS OBISPO, CA 93401(805) 781-3535 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2020, May 17, 2018, May 10, 2018 (3 updates tracked since 2018).

About Kristina J Shippey NPPES

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

KRISTINA J SHIPPEY (NPI 1649476326) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (104850) and active in the NPI registry since June 2007. She has opted out of Medicare through August 26, 2026.

NPPES Registry Identity

NPI1649476326
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRISTINA J SHIPPEY
Location Address1411 MARSH STREET, SUITE 206San Luis Obispo, CA 93401
Mailing Address1411 Marsh Street, Suite 206San Luis Obispo, CA 93401
Phone(805) 781-3535
Sole ProprietorNo
Enumeration DateJune 21, 2007
Last NPPES UpdateFebruary 13, 20203 updates tracked since enumeration
✔ NPI 1649476326 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 · 104850
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.
1411 MARSH STREET, San Luis Obispo, CA 93401
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Other Names 1

Other Name (5)Kristina Jean Shippey

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristina J Shippey 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 August 26, 2024 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2024
Opt-Out In Effect ThroughAugust 26, 2026Opt-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 Kristina Shippey's NPI number?

The NPI number for Kristina Shippey is 1649476326. It was assigned to this individual provider in the NPPES registry on June 21, 2007. The provider is also known as Kristina Jean Shippey.

Where is Kristina Shippey located?

Kristina Shippey practices at 1411 Marsh Street Suite 206, San Luis Obispo, CA 93401. The listed phone number is (805) 781-3535.

What is Kristina Shippey's specialty?

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

Is Kristina Shippey enrolled in Medicare?

No. Kristina Shippey has opted out of Medicare through August 26, 2026. 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 Kristina Shippey was last updated on February 13, 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.