Nicholas Shane Barkalow

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

724 N 78TH St
Seattle, WA 98103-4731

Phone

(719) 651-1240

NPI assigned

Nov 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Young Mens Christian Association of Greater Seattle

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

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1699243519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N 78TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034731",
            "telephone_number": "719-651-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N 78TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034731",
            "telephone_number": "719-651-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 24th Ave S Ste 260",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981444644",
            "country_code": "US",
            "telephone_number": "206-382-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKALOW",
        "first_name": "NICHOLAS",
        "middle_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Barich
• Genevieve I Barile, LMP
• Maria Barinova
• Habibo Osman Bario, STUDENT PMHNP
• Allan Ray Barizo, PHARMD
• Paris A Barkan, MD
• Lamia Barkat
• Noaman Barkatullah
• Sasha Barker-Aderem
• Elena K Barker

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.