Active NPI
Maria Nova Winona Shane, MA, MHP, LMHC
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1376816223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60488620
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG60153915 | WA | MD | Mental Health Counselor |
| LH60488620 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Olson LMHC LLC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Mental Health Counselor
- Lynnwood, WA
- NPI 1770768889
-
- Mental Health Counselor
- Lynnwood, WA
- NPI 1932443280
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.