Individual provider Active NPI

Shauri Coleman-Brown, LMHC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1710555354
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61149147 Issued in WA
Practice address
621 Pacific Ave Ste 212
Tacoma, WA 98402-4619
Phone
(253) 457-9821
NPI assigned
Jun 10, 2021
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61149147 WA Primary

Addresses

Primary practice location

621 Pacific Ave Ste 212
Tacoma, WA 98402-4619

Mailing address

6424 N 9TH St
Tacoma, WA 98406-2091
Phone (253) 565-4484

Other identifiers 1

IdentifierTypeStateIssuer
61149147OtherWADOH

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
61149147WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Wings Counseling, PLLC Mental Health PastSince May 4, 2025 Accepting new patients
Hopesparks Mental Health PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1710555354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062091",
            "telephone_number": "253-565-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PACIFIC AVE STE 212",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024619",
            "telephone_number": "253-457-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-BROWN",
        "first_name": "SHAURI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61149147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "61149147",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.