Individual provider Active NPI

Sharlean Anne Andis

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1295849297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00029404 Issued in WA
Practice address
2735 10TH St
Everett, WA 98201-1413
Phone
(425) 231-1062
Fax
(425) 252-0793
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00029404 WA Primary

Addresses

Primary practice location

2735 10TH St
Everett, WA 98201-1413

Mailing address

1607 Chestnut St
Apartment a
Everett, WA 98201-1953
Phone (425) 231-1062

Other names 1

  • Shar Anne Andis Other name

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
RC00029404WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295849297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 CHESTNUT ST",
            "address_2": "APARTMENT A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011953",
            "telephone_number": "425-231-1062",
            "fax_number": "425-252-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 10TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011413",
            "telephone_number": "425-231-1062",
            "fax_number": "425-252-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDIS",
        "first_name": "SHARLEAN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00029404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAR",
            "last_name": "ANDIS",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.