Individual provider Active NPI

Shobana Murugiah

  • Professional Counselor
  • Tacoma, WA
National Provider Identifier
1558950683
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2066 Issued in WY
Practice address
1221 S Ridgewood Ave
Tacoma, WA 98405-3254
Phone
(773) 597-8738
NPI assigned
Jan 13, 2021
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC.LH.61561878 WA
Professional Counselor 101YP2500X LPC0019329 CO
Professional Counselor 101YP2500X 2066 WY Primary

Addresses

Primary practice location

1221 S Ridgewood Ave
Tacoma, WA 98405-3254

Mailing address

1221 S Ridgewood Ave
Tacoma, WA 98405-3254
Phone (773) 597-8738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 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
I20240205000612 WY Practitioner - Mental Health Counselor 6608219977 Reassigns benefits to 1 organization
I20250818002402 CO Practitioner - Mental Health Counselor 6608219977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2578 Broadway
Suite 607
New York, NY 10025-7869

9901 Brodie LN
Suite 160
Austin, TX 78748-5803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2066WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Wa Psychiatry PC CurrentSince Dec 1, 2024 Accepting new patients
Talkspace Provider Network Co, PC CurrentSince May 16, 2025 Accepting new patients
Talkspace Provider Network PA CurrentSince May 16, 2025 Accepting new patients
Second Sun Therapy PLLC Professional Past Accepting new patients
Resilient Life Counseling Services, PLLC Professional PastSince Jan 22, 2023 Accepting new patients
Headspace Medical Group (Ca), P.C. PastSince Feb 1, 2022 Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 6

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1558950683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S RIDGEWOOD AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053254",
            "telephone_number": "773-597-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S RIDGEWOOD AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053254",
            "telephone_number": "773-597-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURUGIAH",
        "first_name": "SHOBANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.61561878",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0019329",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.