MISS GRIZELLI-SHANE PADAMADA LPCC 9228
NPI 1679965206
Counselor - Professional in La Mesa, CA
About Miss Grizelli-shane Padamada Lpcc 9228 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS GRIZELLI-SHANE PADAMADA LPCC 9228 (NPI 1679965206) is an individual professional provider in La Mesa, California, licensed in California (LPCC9228) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Grizelli-shane Padamada Lpcc 9228 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grizelli-shane Padamada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alpine, CA 91901
- Reassigned Medicare billing, California enrollment
- 92 clinicians in this Medicare group
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 Grizelli-shane Padamada's NPI number?
The NPI number for Grizelli-shane Padamada is 1679965206. It was assigned to this individual provider in the NPPES registry on February 18, 2015. The provider is also known as Miss Shane Padamada Lpcc.
Where is Grizelli-shane Padamada located?
Grizelli-shane Padamada practices at 5706 Baltimore Dr Unit 375, La Mesa, CA 91942. The listed phone number is (619) 567-7399.
What is Grizelli-shane Padamada's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Grizelli-shane Padamada enrolled in Medicare?
Yes. Grizelli-shane Padamada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grizelli-shane Padamada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grizelli-shane Padamada reassigns Medicare benefits to Fusion Care Group, A Psychological Professional Corporation (Alpine, CA). The 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 Grizelli-shane Padamada'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 Grizelli-shane Padamada was last updated on August 29, 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.
# Miss Grizelli-Shane Padamada, LPCC 9228 · NPI 1679965206
Professional provider in La Mesa, California. Individual provider, active in the CMS NPPES registry since February 18, 2015.
## Identity
- **NPI:** 1679965206 (Entity type: Individual)
- **Enumerated:** February 18, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC9228 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5706 BALTIMORE DR UNIT 375, La Mesa, CA 91942-1685
- **Phone:** (619) 567-7399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fusion Care Group, A Psychological Professional Corporation (NPI 1275177982, Alpine, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679965206) · Data from the CMS NPPES public registry.