Shannon Shively, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60668882 Issued in WA

Practice address

3618 California Ave SW
Seattle, WA 98116-3702

Phone

(206) 718-8892

NPI assigned

Feb 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shannon Shively Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1811388689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163702",
            "telephone_number": "206-718-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163702",
            "telephone_number": "206-718-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Nickerson St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981091631",
            "country_code": "US",
            "telephone_number": "405-437-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60668882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SHIVELY",
            "prefix": "MRS.",
            "credential": "M.A.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Young Shirley
• Courtney Marie Shish, PT
• Ashley N Shishido, ARNP, DNP
• Archana Shivanna
• Giridhar Mysore Shivaram, MD
• Michael Shivers
• Svetlana Aleksandra Shjerven, LICSW
• Jacob Shlaferman
• Margarett Shnorhavorian, MD
• Alireza Shoakazemi, M.D.

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.