Individual provider Active NPI

Dorothy Ellen Shreve, LMFT, LMHCA

  • Counselor
  • Bellingham, WA
National Provider Identifier
1720552805
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61146676 Issued in WA
Practice address
3350 Airport Dr
Bellingham, WA 98226-8048
Phone
(360) 734-5458
Fax
(360) 734-5298
NPI assigned
Jan 11, 2019
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 110809 CA
Counselor 101Y00000X MC61146676 WA Primary

Addresses

Primary practice location

3350 Airport Dr
Bellingham, WA 98226-8048

Mailing address

1902 20TH St Apt A2
Bellingham, WA 98225-8159
Phone (408) 806-1492

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
MC61146676WAMDCounselor
110809CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1720552805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 20TH ST APT A2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258159",
            "telephone_number": "408-806-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 AIRPORT DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268048",
            "telephone_number": "360-734-5458",
            "fax_number": "360-734-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "DOROTHY",
        "middle_name": "ELLEN",
        "credential": "LMFT, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110809",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61146676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.