Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE SHIN

Deactivated Sole Proprietor

STEPHANIE SHIN is a Marriage & Family Therapist healthcare provider located in LA VERNE, California. NPI 1174090088 is deactivated in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · LA VERNE, CA

This NPI has been deactivated. The record was deactivated on October 26, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1174090088
Provider Type: Individual
Gender: Female
NPI Issued: Oct 29, 2018 (3.9917808219178 yrs)
Last Updated: Jun 17, 2025
Deactivated: Oct 26, 2022
Licenses: AMFT136021 (CA)

155173 (CA)
Sole Proprietor: Yes

Practice Information

Address: 5673 LOS ROBLES

LA VERNE, CA, 917501661
Browse CA providers · Browse ZIP 91750
Phone: 9092222431
Primary Specialty: Marriage & Family Therapist
106H00000X
Additional Specialty: Marriage & Family Therapist
Additional Specialty: Behavior Technician
Additional Specialty: Occupational Therapy Assistant
Additional Specialty: Student (Health Education/Training)

Other Marriage & Family Therapist Providers in LA VERNE, CA

Name	Credential	NPI
MS. SUSAN L HALY	LMFT	1366536500
MR. GREG PETROPOULOS	LMFT	1649327842
MS. SHARI LYNNETTE SCHAFFER	MFT	1285761346
MRS. MINI DIBLASI	M.S.	1861521924
PAULA Y RANDLE	LMFT	1972632727
MR. MICHAEL P MILLER	LMFT	1376672477

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.