Active NPI
Shawna Lynn Mokler, SUDP
- Addiction (Substance Use Disorder) Counselor
- Kent, WA
National Provider Identifier
1366041048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60956720
- Practice address
- 841 Central Ave N Ste 215
Kent, WA 98032-2014 - Phone
- (800) 858-6702
- Fax
- (425) 671-6198
- NPI assigned
- Oct 22, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60956720 | WA | Primary |
Addresses
Primary practice location
841 Central Ave N Ste 215
Kent, WA 98032-2014
Mailing address
841 Central Ave N Ste 215
Kent, WA 98032-2014
Phone (425) 429-3004
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 |
|---|---|---|---|
| CP60956720 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1366041048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 CENTRAL AVE N STE 215",
"city": "KENT",
"state": "WA",
"postal_code": "980322014",
"telephone_number": "425-429-3004",
"fax_number": "425-671-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 CENTRAL AVE N STE 215",
"city": "KENT",
"state": "WA",
"postal_code": "980322014",
"telephone_number": "800-858-6702",
"fax_number": "425-671-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKLER",
"first_name": "SHAWNA",
"middle_name": "LYNN",
"credential": "SUDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60956720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.