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MISS CONSTANCE SHIN LMFT
NPI 1750827291
Marriage & Family Therapist in Lakewood, CA

Active since January 09, 2017Opted out of Medicare · through Aug 25, 2027
4010 WATSON PLAZA DR, SUITE 285, LAKEWOOD, CA 90712(562) 497-1505(562) 497-1881 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Constance Shin Lmft NPPES

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

MISS CONSTANCE SHIN LMFT (NPI 1750827291) is an individual marriage & family therapist in Lakewood, California, licensed in California (48639) and active in the NPI registry since January 2017. She has opted out of Medicare through August 25, 2027.

NPPES Registry Identity

NPI1750827291
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS CONSTANCE SHINCredential: LMFT
Location Address4010 WATSON PLAZA DR, SUITE 285Lakewood, CA 90712-4037
Mailing Address4010 Watson Plaza Dr, Suite 285Lakewood, CA 90712-4037 · (562) 497-1505 · Fax (562) 497-1881
Phone(562) 497-1505
Fax(562) 497-1881
Sole ProprietorYes
Enumeration DateJanuary 9, 2017
✔ NPI 1750827291 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 · 48639
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.
4010 WATSON PLAZA DR, Lakewood, CA 90712
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miss Constance Shin Lmft 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 25, 2025 through August 25, 2027.

Opt-Out Effective DateAugust 25, 2025
Opt-Out In Effect ThroughAugust 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

KIM PRODGER LCSW
Social Worker (Clinical)
4010 WATSON PLAZA DR, SUITE 285
LAKEWOOD, CA 90712
Los Angeles County (562) 497-1505
JACQUELINE N GOMEZ
Counselor (Mental Health)
4010 WATSON PLAZA DR
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
JANE T. RIKIMARU LMFT
Marriage & Family Therapist
4010 WATSON PLAZA DR, SUITE 285
LAKEWOOD, CA 90712
Los Angeles County (562) 497-1505
MR. RICHARD CARL ROMERO B.A.
Counselor (Mental Health)
4010 WATSON PLAZA DR
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
MS. KENDRA VENETTA TANKERSLEY BS
Rehabilitation Practitioner
4010 WATSON PLAZA DR, 135
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Community/Behavioral Health
4010 WATSON PLAZA DR
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
DR. ALLISON BLAIR WEISS PSY.D.
Psychologist (Clinical)
4010 WATSON PLAZA DR, SUITE 285
LAKEWOOD, CA 90712
Los Angeles County (562) 497-1505
MS. CHINA KEYONNIE GASSOWAY STEVENSON
Case Manager/Care Coordinator
4010 WATSON PLAZA DR, SUITE 135
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7225

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 Constance Shin's NPI number?

The NPI number for Constance Shin is 1750827291. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Constance Shin located?

Constance Shin practices at 4010 Watson Plaza Dr Suite 285, Lakewood, CA 90712. The listed phone number is (562) 497-1505.

What is Constance Shin's specialty?

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

Is Constance Shin enrolled in Medicare?

No. Constance Shin has opted out of Medicare through August 25, 2027. 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 Constance Shin was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.