Active NPI
Joseph Allen Shaub, M.A.
- Marriage & Family Therapist
- Bellevue, WA
National Provider Identifier
1093094377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF 00001567
- Practice address
- 10940 NE 33Rd PL
Suite 109
Bellevue, WA 98004-1432 - Phone
- (206) 587-0417
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | LF 00001567 | WA | Primary |
Addresses
Primary practice location
10940 NE 33Rd PL
Suite 109
Bellevue, WA 98004-1432
Mailing address
10940 NE 33Rd PL
Suite 109
Bellevue, WA 98004-1432
Phone (206) 587-0417
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF 00001567 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1093094377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10940 NE 33RD PL",
"address_2": "SUITE 109",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041432",
"telephone_number": "206-587-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10940 NE 33RD PL",
"address_2": "SUITE 109",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041432",
"telephone_number": "206-587-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUB",
"first_name": "JOSEPH",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 00001567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.