Individual provider Active NPI

Bryce Alikzandr Shoemaker, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1558702316
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60582917 Issued in WA
Practice address
4860 Rainier Ave S Ste C
Seattle, WA 98118-6305
Phone
(206) 339-7327
NPI assigned
Jul 9, 2013
Last updated
Feb 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60582917 WA Primary

Addresses

Primary practice location

4860 Rainier Ave S Ste C
Seattle, WA 98118-6305

Mailing address

212 Broadway E Unit 20775
Seattle, WA 98102-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001064 WA Practitioner - Mental Health Counselor 5991240475 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Seattle, WA 98112
Phone (206) 552-8602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH 60582917WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bryce Shoemaker Ma LMHC PLLC Mental Health CurrentSince Feb 12, 2023 Accepting new patients

Locations

212 Broadway E
Unit 20775
Seattle, WA 98102

4860 Rainier Ave S
Ste C
Seattle, WA 98118
Phone (206) 316-1812

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, 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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1558702316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BROADWAY E UNIT 20775",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 RAINIER AVE S STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981186305",
            "telephone_number": "206-339-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "BRYCE",
        "middle_name": "ALIKZANDR",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60582917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.