Individual provider Active NPI

Barbara Chateaubriand, MASTER DEGREE

  • Mental Health Counselor
  • Shoreline, WA
National Provider Identifier
1164576302
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00008130 Issued in WA
Practice address
1424 NE 155TH St Ste 209
Shoreline, WA 98155-7104
Phone
(206) 250-2530
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6471 OR
Mental Health Counselor 101YM0800X LPC-MH30554 SD
Mental Health Counselor 101YM0800X LH00008130 WA Primary

Addresses

Primary practice location

1424 NE 155TH St Ste 209
Shoreline, WA 98155-7104

Mailing address

1424 NE 155TH St Ste 209
Shoreline, WA 98155-7104
Phone (206) 206-2530

Other names 1

  • Barbara Rose Chateaubriand Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001126 WA Practitioner - Mental Health Counselor 2668940263 Practice locations: Shoreline, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1424 NE 155TH St
Suite 209
Shoreline, WA 98155-7104
Phone (206) 250-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6471ORMDMental Health Counselor
LPC-MH30554SDMDMental Health Counselor
LH00008130WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1164576302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 209",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "206-206-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 209",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "206-250-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATEAUBRIAND",
        "first_name": "BARBARA",
        "credential": "MASTER DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6471",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30554",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "CHATEAUBRIAND",
            "middle_name": "ROSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.