Lauren Shalane Wagendorf, LMHC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61000117 Issued in WA

Practice address

16150 NE 85TH St Ste 121
Redmond, WA 98052-3542

Phone

(425) 868-5777

NPI assigned

Dec 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Shalane Henry Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1114797545
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Kirkland, WA
  • NPI 1629812409
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1821533035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 121ST AVE NE APT 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980055069",
            "telephone_number": "701-351-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 121",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523542",
            "telephone_number": "425-868-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENDORF",
        "first_name": "LAUREN",
        "middle_name": "SHALANE",
        "credential": "LMHC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01367",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HENRY",
            "middle_name": "SHALANE",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Howard Joseph Vossen
• Thakou Vu
• Jessica Vuong, O.D.
• Matthew Harrison Wade, MS, RDN, CSCS
• Jarrod Wadwa, PHARMD
• Sharon T Wagener Dewolf, DC
• Rasena Wager
• Shuree Waggoner, LMHC
• Kramer Alexander Pandolfo Wagner, DDS
• Chandra Dawn Wajdik

• Mental Health Counselor in Redmond, WA
• Providers in Redmond, 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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.