Individual provider Active NPI

Shahna Marie Creagan, CDP, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1205379575
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH-61163476 Issued in WA
Practice address
12503 SE Mill Plain Blvd
Ste 119
Vancouver, WA 98684-4009
Phone
(360) 910-0124
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60684800 WA
Mental Health Counselor 101YM0800X LH-61163476 WA Primary

Addresses

Primary practice location

12503 SE Mill Plain Blvd
Ste 119
Vancouver, WA 98684-4009

Mailing address

2114 Main St Ste 100
Vancouver, WA 98660-2674
Phone (360) 524-4391

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

LicenseStateTypeSpecialty
CP60684800WAMDAddiction (Substance Use Disorder) Counselor
LH-61163476WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1205379575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 MAIN ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602674",
            "telephone_number": "360-524-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "STE 119",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-910-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGAN",
        "first_name": "SHAHNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CDP, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60684800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH-61163476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.