Individual provider Active NPI

Shawna L Sunday, LMHC

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1699055624
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61023501 Issued in WA
Practice address
707 S Grady Way Ste 600
Renton, WA 98057-3227
Phone
(253) 433-0000
Fax
(855) 923-0890
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60591558 WA
Military Health Care Provider 171000000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH61023501 WA Primary

Addresses

Primary practice location

707 S Grady Way Ste 600
Renton, WA 98057-3227

Mailing address

PO Box 39740
Lakewood, WA 98496-3740
Phone (253) 433-0000

Other practice location 1

15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071
Phone (206) 242-8211

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
CP60591558WAMDAddiction (Substance Use Disorder) Counselor
LH61023501WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shawna Sunday Ma LMHC PLLC Mental Health CurrentSince Mar 3, 2024 Accepting new patients

Locations

707 S Grady Way
Ste 600
Renton, WA 98057
Phone (206) 257-2987

Organizations & group practices 1

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1699055624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39740",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963740",
            "telephone_number": "253-433-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573227",
            "telephone_number": "253-433-0000",
            "fax_number": "855-923-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15811 Ambaum Blvd SW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663071",
            "country_code": "US",
            "telephone_number": "206-242-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDAY",
        "first_name": "SHAWNA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60591558",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61023501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.