Active NPI
Anthony Berl Shipman, MA
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1538726120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60958734
- Practice address
- 6320 Evergreen Way Ste 201
Everett, WA 98203-4560 - Phone
- (425) 350-2434
- Fax
- (425) 512-8049
- NPI assigned
- May 20, 2019
- Sex
- Male
- Sole proprietor
- No
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 | LH60958734 | WA | Primary |
Addresses
Primary practice location
6320 Evergreen Way Ste 201
Everett, WA 98203-4560
Mailing address
4628 Fowler Ave Apt 56
Everett, WA 98203-2718
Phone (406) 230-2633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60958734 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Skills, PLLC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1538726120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4628 FOWLER AVE APT 56",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032718",
"telephone_number": "406-230-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 EVERGREEN WAY STE 201",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034560",
"telephone_number": "425-350-2434",
"fax_number": "425-512-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPMAN",
"first_name": "ANTHONY",
"middle_name": "BERL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60958734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.