NPIMap

Organization Active NPI

Shannon Tait, LMFT, PLLC

  • Marriage & Family Therapist
  • Redmond, WA
National Provider Identifier
1841864477
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHANNON TAIT, LMFT, PLLC
Practice address
16150 NE 85TH St Ste 222B
Redmond, WA 98052-3546
Phone
(206) 880-3961
Fax
(425) 636-8753
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Shannon Tait, LMFTNPI 1093995037
Title
Owner/Therapist
Phone
(206) 880-3961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

16150 NE 85TH St Ste 222B
Redmond, WA 98052-3546

Mailing address

16150 NE 85TH St Ste 222B
Redmond, WA 98052-3546
Phone (206) 880-3961

Other names 1

  • Blooming Leaf Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@shannontaitlmft.com

National Provider Directory

National Provider Directory

Locations

15600 Redmond Way
Ste 202
Redmond, WA 98052
Phone (425) 224-5913

16150 NE 85th St
Ste 222B
Redmond, WA 98052
Phone (425) 202-7802

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1841864477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 222B",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546",
            "telephone_number": "206-880-3961",
            "fax_number": "425-636-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 222B",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546",
            "telephone_number": "206-880-3961",
            "fax_number": "425-636-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON TAIT, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "206-880-3961",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@shannontaitlmft.com",
            "affiliation": "N",
            "address_1": "15600 Redmond Way Ste 202",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980523862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blooming Leaf Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blooming Leaf Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.