Shelley E Leavitt, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60173033 Issued in WA

Practice address

34004 16TH Ave S
Suite 200
Federal Way, WA 98003-8903

Phone

(253) 874-3630

Fax

(253) 838-1670

NPI assigned

Nov 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1467739730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34004 16TH AVE S",
            "address_2": "SUITE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038903",
            "telephone_number": "253-874-3630",
            "fax_number": "253-838-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34004 16TH AVE S",
            "address_2": "SUITE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038903",
            "telephone_number": "253-874-3630",
            "fax_number": "253-838-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "SHELLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60173033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sin-Ying Law, DDS
• Mercedes Paris Lawrence
• Boris Lazarev, M.D.
• Cam-Thu Le, PHARM.D.
• Micah Leavitt
• Elyse Renee Lebuffe, M.D.
• Lisa Jayne Lecavalier, MS CCC-SLP
• Amy Louise Lee, DO
• Andrew Lee, DDS
• Brenda W Lee, MSN ARNP

• Mental Health Counselor in Federal Way, WA
• Providers in Federal Way, 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 Nov 14, 2011; 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.