Individual provider Active NPI

Bradley Roe Shumate, M.S, M.A., LMHC, LPC

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1558607994
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC.LH.00005889 Issued in WA
Practice address
3532 S Wapiti LN
Spokane Valley, WA 99206-1208
Phone
(360) 600-1070
Fax
(509) 919-4494
NPI assigned
Dec 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC.LH.00005889 WA Primary
Professional Counselor 101YP2500X C3790 OR

Addresses

Primary practice location

3532 S Wapiti LN
Spokane Valley, WA 99206-1208

Mailing address

3532 S Wapiti LN
Spokane Valley, WA 99206-1208
Phone (360) 600-1070

Other names 1

  • Brad Shumate Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240109004266 OR Practitioner - Other (Non-Physician) 1658618335
I20240109004356 OR Practitioner - Mental Health Counselor 1658618335

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1115 SE 164TH Ave
Vancouver, WA 98683-9625

12914 NE 37TH St
Vancouver, WA 98682-7626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
MHC.LH.00005889WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Peacehealth Medical Group Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Locations

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste 420
Eugene, OR 97401
Phone (458) 205-6444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1558607994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 S WAPITI LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992061208",
            "telephone_number": "360-600-1070",
            "fax_number": "509-919-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 S WAPITI LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992061208",
            "telephone_number": "360-600-1070",
            "fax_number": "509-919-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "BRADLEY",
        "middle_name": "ROE",
        "name_prefix": "Mr.",
        "credential": "M.S, M.A., LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.00005889",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "SHUMATE",
            "credential": "M.S, M.A., LMHC, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.