The Shelterwood Collective

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60502246 Issued in WA

Legal business name

THE SHELTERWOOD COLLECTIVE

Practice address

108 S Jackson St Ste 203
Seattle, WA 98104-2883

Phone

(206) 915-8694

NPI assigned

Mar 22, 2018

Last updated

Mar 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bethanne Kinmonth, MANPI 1700285806

Title

Cofounder/Codirector

Phone

(206) 915-8694

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethanne Kinmonth

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1700285806
  NPD (past) Authorized official
• Nicole Greenwald, MA, LMHCA

  • Community Health Worker
  • Seattle, WA
  • NPI 1750720520
  NPD (past)
• Jamie Knowlton

  • Counseling Psychologist
  • Seattle, WA
  • NPI 1366166357
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1538663604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S JACKSON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042883",
            "telephone_number": "206-915-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S JACKSON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042883",
            "telephone_number": "206-915-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHELTERWOOD COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "KINMONTH",
        "authorized_official_first_name": "BETHANNE",
        "authorized_official_title_or_position": "COFOUNDER/CODIRECTOR",
        "authorized_official_telephone_number": "206-915-8694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60502246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Mar 22, 2018; 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.