Active NPI
Kelly Elizabeth Shanks Lippman, M.ED.
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1952547432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00007390
- Practice address
- 3300 E Union St
Seattle, WA 98122-3372 - Phone
- (206) 412-0697
- NPI assigned
- Jan 5, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00007390 | WA | Primary |
Addresses
Primary practice location
3300 E Union St
Seattle, WA 98122-3372
Mailing address
2910 E Madison St
Suite 208
Seattle, WA 98112-4214
Phone (206) 412-0697
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00007390 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1952547432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 E MADISON ST",
"address_2": "SUITE 208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124214",
"telephone_number": "206-412-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E UNION ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981223372",
"telephone_number": "206-412-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPMAN",
"first_name": "KELLY",
"middle_name": "ELIZABETH SHANKS",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00007390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.