Lenni Erin Shea, MA, SUDP, LMHCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60662707 Issued in WA

Practice address

510 19TH Ave E
Seattle, WA 98112-4095

Phone

(206) 299-1303

NPI assigned

Dec 5, 2017

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Roots Community Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1972623189
  Medicare reassignment NPD
• Country Doctor Community Clinic

  dba Country Doctor Community Clinic Pharmacy

  • Clinic Pharmacy
  • Seattle, WA
  • NPI 1639390982
  NPD
• Seattle Roots Community Health

  dba Seattle Roots at After Hours Clinic

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1497189773
  NPD
• Seattle Roots Community Health

  dba Seattle Roots at Step Clinic

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1891343075
  NPD
• Edgewood Seattle Addiction Services

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1437496684
  NPD (past)
• Seattle Roots Community Health

  dba Carolyn Downs Familly Medical Center

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1164642278
  NPD (past)
• Seattle Roots Community Health

  dba Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1952883993
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1962917526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124095",
            "telephone_number": "206-299-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124095",
            "telephone_number": "206-299-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "LENNI",
        "middle_name": "ERIN",
        "credential": "MA, SUDP, LMHCA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60662707",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61308087",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CP60662707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUDP - SUBSTANCE USE DISORDER PROFESSIONAL",
            "identifier": "CP60662707",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHCA - LICENSED MENTAL HEALTH COUNSELOR ASSOCIATE",
            "identifier": "MC61308087",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shea J. Welsh M.D.
• Annalynn Shea-Michiels, M.S., M.S.W
• Helen Denise Shea, RN
• Jill Diane Shea
• Katherine Shea, LAC, MACOM
• Lianne Shea, CNS
• Mikayla Marie Shea
• Simon Peter Shea
• Theresa L Shea, PA-C
• Jessica Suzanne Sheaffer, L.M.P

• Addiction (Substance Use Disorder) Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.