Adryenne Patterson, MSW, LICSWA, MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SC61194721 Issued in WA

Practice address

16715 Aurora Ave N # 102
Shoreline, WA 98133-5310

Phone

(206) 546-9766

Fax

(206) 542-0326

NPI assigned

Oct 24, 2019

Last updated

Jul 30, 2021By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Therapeutic Health Services

  dba Shoreline Branch

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1144312877

  Addiction (Substance Use Disorder)

  NPD
• The Young Mens Christian Association of Greater Seattle

  • Health Educator
  • Seattle, WA
  • NPI 1962526046
  NPD (past)
• Therapeutic Health Services

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1548606171
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1578106324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 24TH AVE S STE 260",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444644",
            "telephone_number": "253-382-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N # 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766",
            "fax_number": "206-542-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ADRYENNE",
        "credential": "MSW, LICSWA, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61106896",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61194721",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Parot, M.S. OTR/L
• Ellen Simone Passloff, MD
• Carolyn Michelle Patel, PT, DPT
• Zina Patel
• Antonia Anja Rafaela Patten, MSW
• Paul a Mack DC PS Inc
• Lara Paxton, LMP
• Peacehealth Networks on Demand, LLC (ZoomCare-Shoreline)
• Mary Elizabeth Peacock
• Jaycie Pearce, DC

• 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 Jul 30, 2021; 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.