Munir Wesley Shah, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60503791 Issued in WA

Practice address

900 7TH St
Clarkston, WA 99403-2005

Phone

(509) 758-3341

NPI assigned

Sep 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Matthew Wesley Shah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1932501483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 7TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032005",
            "telephone_number": "509-758-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 7TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032005",
            "telephone_number": "509-758-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 NE Maple St",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991634120",
            "country_code": "US",
            "telephone_number": "509-334-1133",
            "fax_number": "509-332-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MUNIR",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60503791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "SHAH",
            "middle_name": "WESLEY",
            "prefix": "MR.",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genesis Scoggin
• Carson Douglas Seeber, M.D.
• Kandace Seely
• Seker R Medavarapu (Clearwater Braces)
• Leah Severson, RDN, CSR, LD, CD
• Kody Lee Sheets, LDO
• Scott Oliver Shelden, DC
• Carolyn Jean Shoemaker, PA-C
• Chase Patrick Simpson, CRNA
• Dorothea Skalicky, BS, CDP

• Mental Health Counselor in Clarkston, WA
• Providers in Clarkston, 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 24, 2019; 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.