Organization Active NPI

Sharon Shadwell PLLC

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1033809033
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHARON SHADWELL PLLC
Practice address
4405 7TH Ave SE Ste 201
Lacey, WA 98503-1055
Phone
(360) 545-3527
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Sharon Shadwell, MS, MPA, LMHCNPI 1225234412
Title
Owner/Ceo
Phone
(360) 306-9290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

4405 7TH Ave SE Ste 201
Lacey, WA 98503-1055

Mailing address

4405 7TH Ave SE Ste 201
Lacey, WA 98503-1055
Phone (360) 545-3527

Other practice location 1

109 Rainier Ave S Ste F
Eatonville, WA 98328-8112
Phone (360) 545-3527

Other names 1

  • LoveBuilt Doing business as

National Provider Directory

National Provider Directory

Locations

4405 7th Ave SE
Ste 201
Lacey, WA 98503
Phone (360) 545-3527

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1033809033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 7TH AVE SE STE 201",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031055",
            "telephone_number": "360-545-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 7TH AVE SE STE 201",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031055",
            "telephone_number": "360-545-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Rainier Ave S Ste F",
            "address_purpose": "LOCATION",
            "city": "Eatonville",
            "state": "WA",
            "postal_code": "983288112",
            "country_code": "US",
            "telephone_number": "360-545-3527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHARON SHADWELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "SHADWELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-306-9290",
        "authorized_official_credential": "MS, MPA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LoveBuilt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.