Selamawit Elizabeth Shannon-Tamrat

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

STUDENT Issued in MN

Practice address

5775 Wayzata Blvd Ste 700
St Louis Park, MN 55416-1233

Phone

(763) 312-1878

NPI assigned

Apr 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1669036406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 700",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161233",
            "telephone_number": "763-312-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 700",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161233",
            "telephone_number": "763-312-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 E Bloomington Fwy Ste 143",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554203444",
            "country_code": "US",
            "telephone_number": "952-777-4996 x95277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON-TAMRAT",
        "first_name": "SELAMAWIT",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-40144022",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stamrat@eahsmn.org",
            "affiliation": "Y",
            "endpointDescription": "Mental health service",
            "affiliationName": "OASIS CHILD AND FAMILY SERVICES",
            "address_1": "5775 Wayzata Blvd Ste 700",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554161233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshannontamrat@skills-atpe.com",
            "affiliation": "N",
            "address_1": "9001 E Bloomington Fwy Ste 143",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554203444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrienne Ruth Shabaz, MD
• Patrick J Shabino, M.D.
• Hayly Jean Shackleton, LSW
• Anousheh Shafa, M.D.
• Eric Michael Shaffer
• Alice C Shapiro, RD
• Rachel Irit Shapiro, CPM
• William C Sharer
• Chad W Sharkey, GNP
• Sharon Grostephan, Licsw

• Mental Health Counselor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.