Individual provider Active NPI

Shannon Lyn Manuszewski, LMHC, LPC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1730656240
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61051660 Issued in WA
Practice address
2301 NE 157TH St
Vancouver, WA 98686-6446
Phone
(210) 273-1976
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17457 FL
Mental Health Counselor 101YM0800X 76168 TX
Mental Health Counselor 101YM0800X LH61051660 WA Primary

Addresses

Primary practice location

2301 NE 157TH St
Vancouver, WA 98686-6446

Mailing address

2301 NE 157TH St
Vancouver, WA 98686-6446
Phone (210) 273-1976

Other practice location 1

7600 NE 41st St Ste 200
Vancouver, WA 98662-6772
Phone (210) 273-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002855 WA Practitioner - Mental Health Counselor 5092246074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

7600 NE 41St St
Suite 200
Vancouver, WA 98662-6772
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76168TXMDMental Health Counselor
17457FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince May 4, 2025 Accepting new patients
Sentience Psychotherapy LLC Past Accepting new patients
Real Life Community Behavioral Health PLLC Mental Health PastSince Dec 8, 2024 Accepting new patients

Locations

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

7600 NE 41st St
Ste 200
Vancouver, WA 98662
Phone (360) 205-5977

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1730656240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NE 157TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866446",
            "telephone_number": "210-273-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NE 157TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866446",
            "telephone_number": "210-273-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 NE 41st St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626772",
            "country_code": "US",
            "telephone_number": "210-273-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUSZEWSKI",
        "first_name": "SHANNON",
        "middle_name": "LYN",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17457",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76168",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61051660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.