KATHERINE SHINE M.S.
NPI 1821172503
Counselor - Mental Health in San Rafael, CA
NPI Status: Active since October 25, 2006
Contact Information
555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-5700
Fax: (415) 491-5750
- Individual
- Female
- Counselor
- Mental Health
- Opted-Out Medicare
About KATHERINE SHINE
This page provides the complete NPI Profile along with additional information for Katherine Shine, a provider established in San Rafael, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1821172503 assigned on October 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 51534 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1821172503
- Provider Name
- KATHERINE SHINE M.S.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN SAN RAFAEL, CA 94903
- Location Phone
- (415) 491-5700
- Location Fax
- (415) 491-5750
- Mailing Address
- PO BOX 193426 SAN FRANCISCO, CA 94119
- Mailing Phone
- (510) 734-3206
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A mental health counselor like Katherine Shine provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Katherine Shine opted out of Medicare effective on 08-28-2025 until 08-28-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 51534
- License State
- CA
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-28-2025
Opt-Out End Date: 08-28-2027
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821172503, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
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
The NPI number assigned to this healthcare provider is 1821172503, enumerated as an "individual" on October 25, 2006.
The provider is located at 555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN SAN RAFAEL, CA 94903 and the phone number is (415) 491-5700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
