Active NPI
Michelle Shellenberger, M.A., LMHC
- Mental Health Counselor
- Bainbridge Island, WA
National Provider Identifier
1376870121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00010150
- Practice address
- 10781 Sunrise Dr NE
Bainbridge Island, WA 98110-1307 - Phone
- (206) 855-0714
- Fax
- (206) 855-1313
- NPI assigned
- Nov 13, 2009
- Last updated
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | LH00010150 | WA | Primary |
Addresses
Primary practice location
10781 Sunrise Dr NE
Bainbridge Island, WA 98110-1307
Mailing address
10781 Sunrise Dr NE
Bainbridge Island, WA 98110-1307
Phone (206) 855-0714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 1, 2024 through Feb 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010150 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1376870121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10781 SUNRISE DR NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101307",
"telephone_number": "206-855-0714",
"fax_number": "206-855-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10781 SUNRISE DR NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101307",
"telephone_number": "206-855-0714",
"fax_number": "206-855-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLENBERGER",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "M.A., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00010150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
- Serena Matthews Occupational Therapy Services LLC
- Carol B Shakow, MSW LICSW
- Cameron Shaner
- Sharron San Martino Acupuncture, LLC (Golden Owl Acupuncture)
- Daniel Caleb Sheffield, DO
- Sandra Elizabeth Shields, MSW, LICSW, BCD
- Shift PLLC (Maia McCoy Counseling)
- Meghan Shinn, RN
- Kerri B Shoumaker, LMHCA
- Aidan Sievertson, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.