Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shantay Mines, EDS, LMFT

Individual provider Marriage & Family Therapist · NPI 1083051544

Mr. Shantay Mines, EDS, LMFT is a Marriage & Family Therapist in San Jose, California. Practices as a sole proprietor and works from 2 locations. Licensed in California, Florida and North Carolina.

Licensed in
CA, FL, NC
In the registry since
2013
Specialties on file
3
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone: (408) 287-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5139 Deer Park Drive, New Port Richey, FL 34653 — (813) 999-5928

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFTA #9001A (NC)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 124011 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence IMT2104 (FL)

Record details

NPI number1083051544
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS , LMFT
Sole proprietorYes
NPI enumeratedMay 23, 2013
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

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