Tara D Shelby

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MC61328850 Issued in WA

Practice address

200 S 2ND St
Renton, WA 98057-2011

Phone

(425) 226-5536

Fax

(425) 226-0354

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kyle McKenzie DC Inc

  • Chiropractor
  • Silverdale, WA
  • NPI 1487254645
  NPD (past)
• MCS Counseling Group LLC

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1740727494
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1003571456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572011",
            "telephone_number": "425-226-5536",
            "fax_number": "425-226-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9633 Levin Rd NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983838132",
            "country_code": "US",
            "telephone_number": "360-698-5883",
            "fax_number": "360-698-5048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2902 NE 12th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980563297",
            "country_code": "US",
            "telephone_number": "425-882-6000",
            "fax_number": "425-228-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "TARA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61328850",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshelby29729@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "200 S 2nd St",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phillip Luther Shealy, ARNP, FNP
• Conrad Sheary
• Sandy Nashaat Farid Shehata, PHARMD
• Hussein Sheikh, RPH
• Sheila Holt Counseling
• Aaron Shell
• Bryan Shelton
• Meghan Sheppard, MA 60576316
• Kaityann A Sherve, PHARM.D.
• Sherwood Family Chiropractic, P.S.

• Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.