Poulsbo Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

POULSBO THERAPY

Doing business as

Poulsbo Therapy and Wellness

Practice address

19980 10TH Ave NE Ste 204G
Poulsbo, WA 98370-6431

Phone

(360) 621-4837

Fax

(866) 892-0602

NPI assigned

May 16, 2025

Last updated

May 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon June TallonNPI 1235509555

Title

Owner

Phone

(360) 621-4837

Specialties & licenses 1

Addresses

Other names 1

• Poulsbo Therapy and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon June Tallon, MA

  • Mental Health Counselor
  • Poulsbo, WA
  • NPI 1235509555
  NPD Authorized official

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1073304010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19980 10TH AVE NE STE 204G",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706431",
            "telephone_number": "360-621-4837",
            "fax_number": "866-892-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19980 10TH AVE NE STE 204G",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706431",
            "telephone_number": "360-621-4837",
            "fax_number": "866-892-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULSBO THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "TALLON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-621-4837",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poulsbo Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.