Monica Donoghue Shallow

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SC60809010 Issued in WA

Practice address

5204 126TH St SW
Mukilteo, WA 98275-5543

Phone

(618) 979-6112

NPI assigned

Nov 14, 2019

Last updated

Nov 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1114562063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17018 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555126",
            "telephone_number": "206-362-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 126TH ST SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755543",
            "telephone_number": "618-979-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOGHUE SHALLOW",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC60809010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Dell, LPN
• Alyssa Kayle Derrick, L.M.P.
• Deshael Mental Health Services PLLC
• Megan Rey Devlin
• Katherine Dodge, MSN
• Katherine Doughty, MS, MPH, RD, IBCLC
• Erik Wayne Dowell
• Daniel Andrew Dowling, ND
• Dr Susan Cotter & Associates PC
• Jamie Mae Eglinger

• Mental Health Counselor in Mukilteo, WA
• Providers in Mukilteo, 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 Nov 14, 2019; 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.