Active NPI
Christa Shaw
- Mental Health Counselor
- Bellingham, WA
National Provider Identifier
1104705250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61269843
- Practice address
- 908 Jersey St
Bellingham, WA 98225-5611 - Phone
- (360) 510-4211
- NPI assigned
- Sep 1, 2025
- Last updated
- Sep 1, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61269843 | WA | Primary |
Addresses
Primary practice location
908 Jersey St
Bellingham, WA 98225-5611
Mailing address
908 Jersey St
Bellingham, WA 98225-5611
Phone (360) 220-9134
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 |
|---|---|---|---|
| MC61269843 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1104705250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 JERSEY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255611",
"telephone_number": "360-220-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 JERSEY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255611",
"telephone_number": "360-510-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "CHRISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61269843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.