Active NPI
Shelly Huffman, MA
- Mental Health Counselor
- Bainbridge Island, WA
National Provider Identifier
1841680410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60076692
- Practice address
- 785 Ericksen Ave NE Ste 117
Bainbridge Island, WA 98110-1874 - Phone
- (206) 823-9128
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 60076692 | WA | Primary |
Addresses
Primary practice location
785 Ericksen Ave NE Ste 117
Bainbridge Island, WA 98110-1874
Mailing address
8934 Sands Ave NE Unit B
Bainbridge Island, WA 98110-1634
Phone (206) 823-9128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 1, 2024 through Sep 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60076692 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1841680410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8934 SANDS AVE NE UNIT B",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101634",
"telephone_number": "206-823-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 ERICKSEN AVE NE STE 117",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101874",
"telephone_number": "206-823-9128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "SHELLY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60076692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.