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SHAYNA ALYSE CARROLL
NPI 1649829474
Marriage & Family Therapist in Pacoima, CA

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
11643 GLENOAKS BLVD, PACOIMA, CA 91331(818) 897-2609(818) 890-7159 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shayna Alyse Carroll NPPES

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

SHAYNA ALYSE CARROLL (NPI 1649829474) is an individual marriage & family therapist in Pacoima, California, licensed in California (115324) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649829474
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHAYNA ALYSE CARROLL
Location Address11643 GLENOAKS BLVDPacoima, CA 91331-1050
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (213) 381-3626 · Fax (213) 380-8923
Phone(818) 897-2609
Fax(818) 890-7159
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2019
Last NPPES UpdateOctober 15, 2024
✔ NPI 1649829474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 115324
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11643 GLENOAKS BLVD, Pacoima, CA 91331
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Shayna Alyse Carroll 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 ID3779021027
PECOS Enrollment IDI20240816003622
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANGELICA MARIE CHURCHIAN LMFT
Marriage & Family Therapist
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (310) 751-5408
NADINE LINARES
Counselor
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
SONYA ROJAS
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
MADELEINE MARIE SEELEY
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
CHRISSY WENDEL SMITH
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2606
ALEXUS MARES
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
FINA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
TANIA MELISSA DURAN
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609

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 Shayna Carroll's NPI number?

The NPI number for Shayna Carroll is 1649829474. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Shayna Carroll located?

Shayna Carroll practices at 11643 Glenoaks Blvd, Pacoima, CA 91331. The listed phone number is (818) 897-2609.

What is Shayna Carroll's specialty?

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

Is Shayna Carroll enrolled in Medicare?

Yes. Shayna Carroll 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 Shayna Carroll accept?

Health plans from Providence Health Plan list Shayna Carroll 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 Shayna Carroll was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.