SHANNON WITTEVRONGEL (NPI# 1861870941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861870941 |
| Entity Type | Individual |
| Full Name | SHANNON WITTEVRONGEL |
| Credential | LMHCA |
| Practice Address |
2804 Grand Ave Suite 306 Everett WA 98201-3430 |
| Mailing Address |
20118 Fremont Ave N Shoreline WA 98133-3033 |
| Practice Telephone | 2062890227 |
| Mailing Telephone | 6024329980 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MC60563325 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2804 GRAND AVE SUITE 306 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209782 | Ruby D Pearce | Counselor | 2804 Grand Ave, Suite #207, Everett, WA 98201-3430 | 2006-08-30 |
| 1992240782 | Penny M. Groshong | Massage Therapist | 2804 Grand Ave, Ste 301, Everett, WA 98201 | 2017-01-03 |
| 1942654355 | Andrew Ide | Counselor | 2804 Grand Ave, Suite 304, Everett, WA 98201-3430 | 2016-04-21 |
| 1568838175 | Kaitlin Jane Marie Lindquist | Massage Therapist | 2804 Grand Ave, #307, Everett, WA 98201-3430 | 2015-08-18 |
| 1629450739 | Healthy Balance Natural Medicine Pllc | Dietitian, Registered | 2804 Grand Ave, Ste. 300, Everett, WA 98201-3430 | 2015-06-25 |
| 1962895128 | Timothy Aaron Mcgee | Acupuncturist | 2804 Grand Ave, Suite 202, Everett, WA 98201-3430 | 2015-03-12 |
| 1174953756 | Kimberly Hardy | Counselor | 2804 Grand Ave, Suite 207, Everett, WA 98201-3430 | 2013-11-19 |
| 1861835902 | Diane Summers | Dietitian, Registered | 2804 Grand Ave, Suite 306, Everett, WA 98201-3430 | 2013-04-08 |
| 1255674842 | Healthy Balance Natural Medicine, Pllc | Clinic/Center | 2804 Grand Ave, Ste 300, Everett, WA 98201-3430 | 2013-04-01 |
| 1306190038 | James Thomas Burr | Acupuncturist | 2804 Grand Ave, Suite 300, Everett, WA 98201-3430 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493960 | Velles Counseling Services LLC | Counselor | 2209 Rockefeller Ave, Everett, WA 98201-2841 | 2020-10-02 |
| 1548872435 | Beatrice B Boisvert | Counselor | 9 Oakland Ave, Everett, MA 02149-3917 | 2020-08-20 |
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1053943159 | Maricela Barrios Martinez | Counselor | 2722 Colby Ave Ste 10, Everett, WA 98201-3557 | 2020-02-06 |
| 1760024350 | Shauna Meadors | Counselor | 4526 Federal Ave # 42, Everett, WA 98203-2132 | 2019-10-15 |
| 1932757879 | Brianne Rokey | Counselor | 1721 Hewitt Ave Ste 511, Everett, WA 98201-3546 | 2019-09-03 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1548752512 | Katrina Kyrene King | Counselor | 3322 Broadway # Level1na, Everett, WA 98201-4425 | 2018-06-05 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.