SHANNON M TAIT - NPI 1093995037 - Marriage & Family Therapist in Redmond, WA

Q: What is Shannon Tait's NPI number?

The NPI number for Shannon Tait is 1093995037. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Q: What is Shannon Tait's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Tait was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Shannon M Tait NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON M TAIT (NPI 1093995037) is an individual marriage & family therapist in Redmond, Washington, licensed in Washington (LF60074427) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1093995037

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANNON M TAIT

Location Address16150 NE 85TH ST STE 222BRedmond, WA 98052-3546

Mailing Address16150 Ne 85th St Ste 222bRedmond, WA 98052-3546 · (425) 202-7802 · Fax (425) 821-0313

Phone(425) 202-7802

Fax(425) 821-0313

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 7, 2007

Last NPPES UpdateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1093995037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WA · LF60074427

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselorTaxonomy 101Y00000X · License RC00052034 (WA)

16150 NE 85TH ST STE 222B, Redmond, WA 98052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon M Tait is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466806674

PECOS Enrollment IDI20260507002639

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YELENA KART LMHCA

Counselor (Mental Health)