Theresa Shissler, MSW, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60362453 Issued in WA

Practice address

104 S Freya St Ste 114
Spokane, WA 99202-4868

Phone

(509) 325-4169

Fax

(509) 325-4239

NPI assigned

Apr 10, 2018

Last updated

Apr 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charmed Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1790298610
  NPD (past)
• The H.E.L.P.S. Group, PLLC

  • Social Worker
  • Spokane, WA
  • NPI 1356624068
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1982101523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 114",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024868",
            "telephone_number": "509-325-4169",
            "fax_number": "509-325-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 114",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024868",
            "telephone_number": "509-325-4169",
            "fax_number": "509-325-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISSLER",
        "first_name": "THERESA",
        "credential": "MSW, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60362453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120070",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Shippey, REGISTERED NURSE
• Kerrie Lee Shirley, PHARMD, BCPS, BCPP
• Shirlene Kelly Shirley, SUDP
• Dianna Aleksandra Shirshin
• Khalid Shirzad, M.D.
• Nabaa Awad Shkhair
• Autumn Jillianne Shkuratoff, MS
• Shoba Nishek Licsw, LLC
• Holly D. Shockley, LPC, LMHC
• Shoemaker Ghorbanian I PLLC (Sunrise Dental of Spokane)

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, 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 10, 2018; 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.