Shuree Waggoner, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60129959 Issued in WA

Practice address

15600 Redmond Way Ste 101
Redmond, WA 98052-3862

Phone

(206) 465-2981

NPI assigned

Apr 14, 2010

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1144546292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862",
            "telephone_number": "206-465-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862",
            "telephone_number": "206-465-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "SHUREE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60129959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Harrison Wade, MS, RDN, CSCS
• Jarrod Wadwa, PHARMD
• Lauren Shalane Wagendorf, LMHC, LPCC
• Sharon T Wagener Dewolf, DC
• Rasena Wager
• Kramer Alexander Pandolfo Wagner, DDS
• Chandra Dawn Wajdik
• Avery Jane Walcher
• Preston Robert Walcker
• Halli Broder Waldbaum, PHARM.D.

• Mental Health Counselor in Redmond, WA
• Providers in Redmond, 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 Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.