Individual provider Active NPI

Maria Nova Winona Shane, MA, MHP, LMHC

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1376816223
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60488620 Issued in WA
Practice address
3305 Oakes Ave Ste 100
Everett, WA 98201-4409
Phone
(425) 338-7589
Fax
(425) 297-2222
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60488620 WA Primary
Mental Health Counselor 101YM0800X CG60153915 WA

Addresses

Primary practice location

3305 Oakes Ave Ste 100
Everett, WA 98201-4409

Mailing address

12106 49TH Dr SE
Everett, WA 98208-9104
Phone (206) 491-5403

Other names 1

  • Mrs. Maria Nova Winona Guyott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402001401 WA Practitioner - Mental Health Counselor 6608351010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20102 Cedar Valley Rd
Suite 204
Lynnwood, WA 98036-6392

4824 161St PL SW
Edmonds, WA 98026-4842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CG60153915WAMDMental Health Counselor
LH60488620WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Olson LMHC LLC Mental Health PastSince Mar 1, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maria.shane.p1@direct.stillaguamish.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1376816223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 49TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089104",
            "telephone_number": "206-491-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 OAKES AVE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014409",
            "telephone_number": "425-338-7589",
            "fax_number": "425-297-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "MARIA",
        "middle_name": "NOVA WINONA",
        "name_prefix": "Ms.",
        "credential": "MA, MHP, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60488620",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60153915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "GUYOTT",
            "middle_name": "NOVA WINONA",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.