Individual provider Active NPI

Linette Renee Degroot, BA

  • Counselor
  • Bremerton, WA
National Provider Identifier
1700930062
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC60245291 Issued in WA
Practice address
900 Sheridan Rd
Suite 106
Bremerton, WA 98310-2701
Phone
(360) 415-5866
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC60245291 WA Primary

Addresses

Primary practice location

900 Sheridan Rd
Suite 106
Bremerton, WA 98310-2701

Mailing address

900 Sheridan Rd
Suite 106
Bremerton, WA 98310-2701
Phone (360) 415-5866

Other names 1

  • Linette Renee Shelley 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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
MC60245291WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1700930062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN RD",
            "address_2": "SUITE 106",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-415-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN RD",
            "address_2": "SUITE 106",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-415-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "LINETTE",
        "middle_name": "RENEE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60245291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINETTE",
            "last_name": "SHELLEY",
            "middle_name": "RENEE",
            "credential": "MA, LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 2, 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.