Individual provider Active NPI

Shirley Mariah Luark, LMHC

  • Mental Health Counselor
  • Cosmopolis, WA
National Provider Identifier
1679917892
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005339 Issued in WA
Practice address
1112 First Street
Cosmopolis, WA 98537-0493
Phone
(360) 591-9898
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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 LH00005339 WA Primary

Addresses

Primary practice location

1112 First Street
Cosmopolis, WA 98537-0493

Mailing address

PO Box 493
Cosmopolis, WA 98537-0493
Phone (360) 591-9898

Other identifiers 1

IdentifierTypeStateIssuer
LH00005339OtherWALICENSE FOR MENTAL HEALTH COUNSELOR

Other names 1

  • Shirley Airhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH00005339WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1679917892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "COSMOPOLIS",
            "state": "WA",
            "postal_code": "985370493",
            "telephone_number": "360-591-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 FIRST STREET",
            "city": "COSMOPOLIS",
            "state": "WA",
            "postal_code": "985370493",
            "telephone_number": "360-591-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUARK",
        "first_name": "SHIRLEY",
        "middle_name": "MARIAH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR MENTAL HEALTH COUNSELOR",
            "identifier": "LH00005339",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "AIRHART",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cosmopolis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.