Active NPI
Shana Boschma, LMHC
- Mental Health Counselor
- Renton, WA
National Provider Identifier
1790142248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60332470
- Practice address
- 723 SW 10TH St
Renton, WA 98057-5223 - Phone
- (206) 461-4880
- Fax
- (206) 461-6989
- NPI assigned
- Jan 27, 2016
- Last updated
- May 16, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60332470 | WA | Primary |
Addresses
Primary practice location
723 SW 10TH St
Renton, WA 98057-5223
Mailing address
3413 Meridian Ave N
Seattle, WA 98103-9119
Phone (206) 461-4880
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60332470 | WA | MD | Mental Health Counselor |
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Mount Vernon, WA
- NPI 1962081398
-
- Community/Behavioral Health Agency
- Shelton, WA
- NPI 1184101966
-
- Community/Behavioral Health Agency
- Tacoma, WA
- NPI 1205156338
-
- Primary Care Clinic/Center
- Renton, WA
- NPI 1972352243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1790142248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 MERIDIAN AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981039119",
"telephone_number": "206-461-4880",
"fax_number": "206-461-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 SW 10TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980575223",
"telephone_number": "206-461-4880",
"fax_number": "206-461-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSCHMA",
"first_name": "SHANA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60332470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.