Shannon Nicole Budelman, M.A., M.ED., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60191992 Issued in WA

Practice address

1840 NW 202ND St
Shoreline, WA 98177-2247

Phone

(206) 706-2932

NPI assigned

Oct 13, 2008

Last updated

Dec 22, 2020By the provider in NPPES

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

Master of Arts, Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sky Circles Healing Arts PLLC

  • Adult Mental Health Clinic/Center
  • Shoreline, WA
  • NPI 1982246500
  NPD Authorized official

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1558513283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 BALLINGER WAY NE # 274",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551117",
            "telephone_number": "206-706-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 NW 202ND ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772247",
            "telephone_number": "206-706-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDELMAN",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.A., M.ED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60191992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Gammell Brown
• Marla Rudd Brucken, ARNP
• Andrea Brudvig, MSW
• Matthew Bruner
• Tess Eileen Buck, BA
• Marta Buell, LMHCA
• Mylinh Bui
• Thi Van Bui I
• Anthony Joseph Burden, MD
• Daniel William Burkert, M.S. A.T.C.

• Mental Health Counselor in Shoreline, WA
• Providers in Shoreline, 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 Dec 22, 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.

Verify at the official NPI Registry.