Active NPI
Beverley Shrumm
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1366547804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00005621
- Practice address
- 564 NE Ravenna Blvd
Seattle, WA 98115-6460 - Phone
- (206) 527-2266
- Fax
- (206) 527-1009
- NPI assigned
- Sep 13, 2006
- 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 | LH00005621 | WA | Primary |
Addresses
Primary practice location
564 NE Ravenna Blvd
Seattle, WA 98115-6460
Mailing address
564 NE Ravenna Blvd
Seattle, WA 98115-6460
Phone (206) 527-2266
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 |
|---|---|---|---|
| LH00005621 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Counseling Service | Current | Accepting new patients |
Locations
564 NE Ravenna Blvd
Seattle, WA 98115
Phone (206) 527-1009
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1174628614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366547804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 NE RAVENNA BLVD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156460",
"telephone_number": "206-527-2266",
"fax_number": "206-527-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 NE RAVENNA BLVD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156460",
"telephone_number": "206-527-2266",
"fax_number": "206-527-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRUMM",
"first_name": "BEVERLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00005621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, 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.