Active NPI
Shavonne Washington
- Counselor
- Pontiac, MI
National Provider Identifier
1205601689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451018013
- Practice address
- 1841 N Perry St
Pontiac, MI 48340-2235 - Phone
- (248) 871-1454
- NPI assigned
- Nov 16, 2023
- Last updated
- Nov 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451018013 | MI | Primary |
Addresses
Primary practice location
1841 N Perry St
Pontiac, MI 48340-2235
Mailing address
1841 N Perry St
Pontiac, MI 48340-2235
Phone (248) 871-1454
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451018013 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1205601689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402235",
"telephone_number": "248-871-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402235",
"telephone_number": "248-871-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "SHAVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451018013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.