KATHERINE SHINE M.S.
NPI 1821172503
Counselor - Mental Health in San Rafael, CA
About Katherine Shine M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE SHINE M.S. (NPI 1821172503) is an individual mental health provider in San Rafael, California, licensed in California (51534) and active in the NPI registry since October 2006. She has opted out of Medicare through August 28, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Katherine Shine M.s. 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 28, 2025 through August 28, 2027.
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.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
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 Katherine Shine's NPI number?
The NPI number for Katherine Shine is 1821172503. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Katherine Shine located?
Katherine Shine practices at 555 Northgate Dr Family Service Agency Of Marin, San Rafael, CA 94903. The listed phone number is (415) 491-5700.
What is Katherine Shine's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Katherine Shine enrolled in Medicare?
No. Katherine Shine has opted out of Medicare through August 28, 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 Katherine Shine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Katherine Shine, M.S. · NPI 1821172503
Mental Health provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1821172503 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 51534 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, San Rafael, CA 94903-3680
- **Phone:** (415) 491-5700 · **Fax:** (415) 491-5750
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 28, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1821172503) · Data from the CMS NPPES public registry.