Active NPI
Shannon Rickert, LMHC
- Professional Counselor
- Gig Harbor, WA
National Provider Identifier
1932829439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MC60902592
- Practice address
- 6626 Wagner Way Ste 200
Gig Harbor, WA 98335-6904 - Phone
- (206) 590-3755
- NPI assigned
- Sep 2, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MC60902592 | WA | Primary |
Addresses
Primary practice location
6626 Wagner Way Ste 200
Gig Harbor, WA 98335-6904
Mailing address
6626 Wagner Way Ste 200
Gig Harbor, WA 98335-6904
Phone (206) 590-3755
Other practice location 1
25992 Barbr Cutff Rd NE
Kingston, WA 98346-9401
Phone (360) 638-6231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 18, 2024 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60902592 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1932829439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 WAGNER WAY STE 200",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983356904",
"telephone_number": "206-590-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6626 WAGNER WAY STE 200",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983356904",
"telephone_number": "206-590-3755"
}
],
"practiceLocations": [
{
"address_1": "25992 Barbr Cutff Rd NE",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "WA",
"postal_code": "983469401",
"country_code": "US",
"telephone_number": "360-638-6231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKERT",
"first_name": "SHANNON",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "MC60902592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.