Organization Active NPI

Bryce Shoemaker Ma LMHC PLLC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1073210043
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRYCE SHOEMAKER MA LMHC PLLC
Practice address
4860 Rainier Ave S Ste C
Seattle, WA 98118-6305
Phone
(206) 339-7327
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Bryce ShoemakerNPI 1558702316
Title
Sole Owner
Phone
(206) 356-9327

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4860 Rainier Ave S Ste C
Seattle, WA 98118-6305

Mailing address

212 Broadway E Unit 20775
Seattle, WA 98102-7080

National Provider Directory

National Provider Directory

Locations

212 Broadway E
Unit 20775
Seattle, WA 98102

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": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1073210043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BROADWAY E UNIT 20775",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 RAINIER AVE S STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981186305",
            "telephone_number": "206-339-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE SHOEMAKER MA LMHC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "206-356-9327"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Feb 10, 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.