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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: November 01, 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shayna Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
4.3 mi
Health Maintenance Organization
13652 CANTARA ST
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1407888928 (818) 375-2000
Grow Healthcare Group PC
287 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Shayna Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayna Carroll reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Panorama City, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Shayna Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.