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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANDREA MOORE
NPI 1104510700
Counselor in Everett, WA

Active since June 06, 2023
2802 BROADWAY, EVERETT, WA 98201(425) 259-3191 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Jun 6, 2023 (2 updates tracked since 2023).

About Shandrea Moore NPPES

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

SHANDREA MOORE (NPI 1104510700) is an individual counselor in Everett, Washington and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1104510700
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANDREA MOORE
Location Address2802 BROADWAYEverett, WA 98201-3642
Mailing AddressPo Box 839Everett, WA 98206-0839 · (425) 259-3191
Phone(425) 259-3191
Sole ProprietorNo
Enumeration DateJune 6, 2023
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1104510700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
2802 BROADWAY, Everett, WA 98201
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Other Providers at the Same Location NPPES 20

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

KELCEY HILL B.S.
Counselor (Mental Health)
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
KEYVAN BELTRAN
Counselor (Mental Health)
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
MICAH M LOPEZ
Counselor
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
DR. APRIL MILEY PSY.D
Counselor
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
LAURYL AZURE
Counselor (Mental Health)
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
CHARNET YVETTE CLARK
Counselor
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
MARCIA A HARMS LMHC, CMHS, GMHS
Counselor (Mental Health)
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191
BECKY A WALKER
Counselor (Mental Health)
2802 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 259-3191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shandrea Moore's NPI number?

The NPI number for Shandrea Moore is 1104510700. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Shandrea Moore located?

Shandrea Moore practices at 2802 Broadway, Everett, WA 98201. The listed phone number is (425) 259-3191.

What is Shandrea Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shandrea Moore was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.