Active NPI
Shar Kunovsky, JD MS LMHC
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1245420231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00010372
- Practice address
- 1300 114TH Ave SE
Ste 102 Bellefield Office Park Mercer Canal BLDG
Bellevue, WA 98004 - Phone
- (425) 454-2835
- Fax
- (425) 454-2315
- NPI assigned
- Jul 26, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00010372 | WA | Primary |
Addresses
Primary practice location
1300 114TH Ave SE
Ste 102 Bellefield Office Park Mercer Canal BLDG
Bellevue, WA 98004
Mailing address
1300 114TH Ave SE
Ste 102 Bellefield Office Park Mercer Canal BLDG
Bellevue, WA 98004
Phone (425) 454-2835
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
- Credentials
- Juris Doctor, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010372 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1245420231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 114TH AVE SE",
"address_2": "STE 102 BELLEFIELD OFFICE PARK MERCER CANAL BLDG",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-2835",
"fax_number": "425-454-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 114TH AVE SE",
"address_2": "STE 102 BELLEFIELD OFFICE PARK MERCER CANAL BLDG",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-2835",
"fax_number": "425-454-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNOVSKY",
"first_name": "SHAR",
"credential": "JD MS LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00010372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.