Active NPI
Michael Luke Schrader, B.A.
- Counselor
- Bremerton, WA
National Provider Identifier
1700268661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60512210
- Practice address
- 900 Sheridan Rd Ste 106
Bremerton, WA 98310-2701 - Phone
- (360) 415-5866
- NPI assigned
- Jun 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60512210 | WA | Primary |
Addresses
Primary practice location
900 Sheridan Rd Ste 106
Bremerton, WA 98310-2701
Mailing address
900 Sheridan Rd Ste 106
Bremerton, WA 98310-2701
Phone (360) 373-5031
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60512210 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1700268661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SHERIDAN RD STE 106",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983102701",
"telephone_number": "360-373-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SHERIDAN RD STE 106",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983102701",
"telephone_number": "360-415-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER",
"first_name": "MICHAEL",
"middle_name": "LUKE",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60512210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.