GWENDOLYN ALICE SHELTON
NPI 1871807826
Marriage & Family Therapist in San Diego, CA

Q: What is Gwendolyn Shelton's NPI number?

The NPI number for Gwendolyn Shelton is 1871807826. It was assigned to this individual provider in the NPPES registry on August 2, 2010. The provider is also known as Gwendolyn Alice Davis.

Q: What is Gwendolyn Shelton's specialty?

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

Q: Is Gwendolyn Shelton enrolled in Medicare?

No. Gwendolyn Shelton has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Shelton was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 02, 2010Opted out of Medicare · through Jan 1, 2028

3002 ARMSTRONG ST, SAN DIEGO, CA 92111(858) 277-9550 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Jan 22, 2020 (2 updates tracked since 2020).

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About Gwendolyn Alice Shelton NPPES

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

GWENDOLYN ALICE SHELTON (NPI 1871807826) is an individual marriage & family therapist in San Diego, California, licensed in California (115996) and active in the NPI registry since August 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1871807826

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameGWENDOLYN ALICE SHELTON

Location Address3002 ARMSTRONG STSan Diego, CA 92111-5702

Mailing Address3002 Armstrong StSan Diego, CA 92111-5702 · (510) 295-9586

Phone(858) 277-9550

Sole ProprietorNo

Enumeration DateAugust 2, 2010

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1871807826 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 · 115996

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.

3002 ARMSTRONG ST, San Diego, CA 92111

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Other Names 1

Former Name (1)Gwendolyn Alice Davis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gwendolyn Alice Shelton 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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