Introspective Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SC60527686 Issued in WA

Legal business name

INTROSPECTIVE COUNSELING SERVICES, LLC

Practice address

6320 Evergreen Way Ste 213
Everett, WA 98203-4561

Phone

(916) 801-8351

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Shawnti Johnson, MSW, LSWAICNPI 1689198400

Title

Member

Phone

(916) 801-8351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawnti Johnson, MSW, LICSW

  • Mental Health Counselor
  • Bothell, WA
  • NPI 1689198400
  NPD Authorized official

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649794686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 EVERGREEN WAY STE 213",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034561",
            "telephone_number": "916-801-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 EVERGREEN WAY STE 213",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034561",
            "telephone_number": "916-801-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROSPECTIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAWNTI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-801-8351",
        "authorized_official_credential": "MSW, LSWAIC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "SC60527686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORK ASSOCIATE INDEPENDENT CLINICAL",
            "identifier": "SC60527686",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Everett, WA
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.