Shannon Jan Marie Pahlow, RC, BA, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

RC00052504 Issued in WA

Practice address

505 29TH St SE
Auburn, WA 98002-7541

Phone

(253) 876-7650

Fax

(253) 876-7651

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

State licenses

Practice roles

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.

• Sound

  • Mental Illness Community Based Residential Treatment Facility
  • Auburn, WA
  • NPI 1053971234
  NPD (past)
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932266756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "address_2": "SEATTLE MENTAL HEALTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 29TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027541",
            "telephone_number": "253-876-7650",
            "fax_number": "253-876-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLOW",
        "first_name": "SHANNON",
        "middle_name": "JAN MARIE",
        "credential": "RC, BA, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00052504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Vascular Incorporated
• Ann O Padilla, DNP, ANP, PMHNP
• Elizabeth Garneta Padilla, D.M.D., M.P.H
• Suzanne Gabrielle Padilla, COTA
• Riza Adalin Pagunuran, LPN
• Yvonne Paige
• Julianna H Paik, INTERPRETER
• Elijah Palaita
• Karen Claire Palalay
• Lynn Dell Palmer, SPEECH LANGUAGE PATH

• Professional Counselor in Auburn, WA
• Providers in Auburn, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.