Active NPI
Linette Renee Degroot, BA
- Counselor
- Bremerton, WA
National Provider Identifier
1700930062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC60245291
- 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
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 | 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
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 |
|---|---|---|---|
| MC60245291 | WA | MD | Counselor |
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.