Shane Patrick Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHANE PATRICK COUNSELING

Practice address

10116 Main St Ste 201
Bothell, WA 98011-3446

Phone

(425) 951-0422

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Shane PatrickNPI 1598443020

Title

Owner

Phone

(425) 951-0422

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Patrick, MA, D.MIN, TH.M, MS

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1598443020
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1235955246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 MAIN ST STE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 MAIN ST STE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113446",
            "telephone_number": "425-951-0422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Bothell Everett Hwy Ste 200-4",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121742",
            "country_code": "US",
            "telephone_number": "425-951-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANE PATRICK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-951-0422"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Richard Sesso, RPH
• Kelsey Sevrens
• Nicole Marie Seward, PHARMD
• Aloka Hemant Shah
• Josefin Kristin Shakya, PT
• Dori Lynn Shane, RN
• Priya Shankarganesh
• Parul Sharma, DO
• Ruchi Gupta Sharma, M.D.
• Peggy Jo Shaw

• Mental Health Counselor in Bothell, WA
• Providers in Bothell, 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 Dec 13, 2024; 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.