Shelby Neiman, MC 61474120

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61474120 Issued in WA

Practice address

2732 Grand Ave
Everett, WA 98201-3416

Phone

(253) 426-8773

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1407617723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 S CEDAR ST STE G",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095702",
            "telephone_number": "253-426-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013416",
            "telephone_number": "253-426-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAN",
        "first_name": "SHELBY",
        "credential": "MC 61474120",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61511118",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61474120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Negron
• Peter Dennis Nehring, M.D.
• Aaron Cris Neier
• Christy Marie Neigel
• Micah Scott Neill, CH61257678
• Cristian Fernando Neira Sanchez, MA
• Melody Nelms, RN
• Brittani R Nelsen, ATA, ACC
• Amy D Nelson, MD
• Andrea Nelson

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.