Active NPI
Shawnda McGonigal
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1053746552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60408474
- Practice address
- 905 Spruce St
Suite 300
Seattle, WA 98104-2474 - Phone
- (206) 548-3114
- Fax
- (206) 762-6335
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60408474 | WA | Primary |
Addresses
Primary practice location
905 Spruce St
Suite 300
Seattle, WA 98104-2474
Mailing address
905 Spruce St
Suite 300
Seattle, WA 98104-2474
Phone (206) 548-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60408474 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1053746552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SPRUCE ST",
"address_2": "SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042474",
"telephone_number": "206-548-3114",
"fax_number": "206-762-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SPRUCE ST",
"address_2": "SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042474",
"telephone_number": "206-548-3114",
"fax_number": "206-762-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGONIGAL",
"first_name": "SHAWNDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60408474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.