Shana M Huizenga, BCBA, LMHC, LBA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60496390 Issued in WA

Practice address

23404 75TH Ave SE
Woodinville, WA 98072-9729

Phone

(206) 892-8421

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Shana Marie Zito Former name

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1144546987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 NE WOODINVILLE DUVALL RD # 346",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728564",
            "telephone_number": "206-892-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23404 75TH AVE SE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729729",
            "telephone_number": "206-892-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZENGA",
        "first_name": "SHANA",
        "middle_name": "M",
        "credential": "BCBA, LMHC, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60178892",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-08-3995",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60496390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "ZITO",
            "middle_name": "MARIE",
            "credential": "BCBA, LMHC, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Home Wellness Solutions LLC
• Pamela Jill Hopkins, MSW
• Brent Horn
• Hsiang-Ting Hsiao, BCBA
• Matthew Hsin-Yu Hsieh, CBT
• Kristen Nelson Humphrey, MD
• Allison Hunt, OTR/L
• Jessica Hunt, BCBA
• Nancy Hunter, MA LMHCA
• Brianna Hurley

• Mental Health Counselor in Woodinville, WA
• Providers in Woodinville, 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 Sep 17, 2021; 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.