Individual provider Active NPI

Shauna Rogers-Durham, CO61422512

  • Addiction (Substance Use Disorder) Counselor
  • Everett, WA
National Provider Identifier
1912899014
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO61422512 Issued in WA
Practice address
2601 Summit Ave
Everett, WA 98201-3309
Phone
(425) 258-2407
Fax
(425) 339-2601
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61422512 WA Primary

Addresses

Primary practice location

2601 Summit Ave
Everett, WA 98201-3309

Mailing address

2601 Summit Ave
Everett, WA 98201-3309
Phone (425) 258-2407

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

LicenseStateTypeSpecialty
CO61422512WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1912899014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SUMMIT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013309",
            "telephone_number": "425-258-2407",
            "fax_number": "425-339-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SUMMIT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013309",
            "telephone_number": "425-258-2407",
            "fax_number": "425-339-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS-DURHAM",
        "first_name": "SHAUNA",
        "name_prefix": "Miss",
        "credential": "CO61422512",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61422512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.